Active NPI
Stephanie Christine Burke, APRN, CNP
- Nurse Practitioner
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN.CNP.0029424
- Practice address
- 3000 Arlington Ave
Toledo, OH 43614-2598 - Phone
- (419) 383-4000
- NPI assigned
- Aug 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN.CNP.0029424 | OH | Primary |
Addresses
Primary practice location
3000 Arlington Ave
Toledo, OH 43614-2598
Mailing address
3000 Arlington Ave
Mail Stop 1118
Toledo, OH 43614-2598
Phone (419) 383-3697
Other practice location 1
4510 Dorr St
Toledo, OH 43615-4040
Phone (419) 383-5045
Other names 1
- Stephanie Christine Broadwater
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Toledo College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4121 King Rd
Sylvania, OH 43560-4438
Phone (419) 517-8200
Hospital & facility affiliations
- Ohioans Home Healthcare, Inc
- Mercy St Vincent Medical Center
- Promedica Toledo Hospital
- University of Toledo Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.34 of 100
- Quality
- 69.17
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Toledo Physicians LLC | Current | Accepting new patients | |
| Kingston Care Partners, LLC | Current | Accepting new patients | |
| University of Toledo Physicians LLC | Current | Accepting new patients |
Locations
L4189
Columbus, OH 43260
1120 Dunaway St
Miamisburg, OH 45342
Phone (937) 307-5949
4121 King Rd
Sylvania, OH 43560
Phone (419) 517-8200
3000 Arlington Ave
Stop 1217
Toledo, OH 43614
3000 Arlington Ave
Stop 1118
Toledo, OH 43614
Phone (419) 383-3697
4510 Dorr St
Toledo, OH 43615
Phone (419) 383-5045
3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614
3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556
3000 Arlington Ave
#1108
Toledo, OH 43614
Phone (419) 383-5330
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nursing Care Agency
- Toledo, OH
- NPI 1609185180
-
- Internal Medicine Physician
- Toledo, OH
- NPI 1942296033
-
- Anesthesiology Physician
- Toledo, OH
- NPI 1669005534
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1811971302
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
-
- Home Health Agency
- Perrysburg, OH
- NPI 1093836546
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1992470124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 ARLINGTON AVE",
"address_2": "MAIL STOP 1118",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436142598",
"telephone_number": "419-383-3697",
"fax_number": "419-383-3041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 ARLINGTON AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436142598",
"telephone_number": "419-383-4000"
}
],
"practiceLocations": [
{
"address_1": "4510 Dorr St",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436154040",
"country_code": "US",
"telephone_number": "419-383-5045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURKE",
"first_name": "STEPHANIE",
"middle_name": "CHRISTINE",
"credential": "APRN, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-10",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "APRN.CNP.0029424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "BROADWATER",
"middle_name": "CHRISTINE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.