Active NPI
Melissa G Burtner, M.D.
- Obstetrics & Gynecology Physician
- Olympia, WA
On this page
- Key facts
- Organizations & group practices4
- Hospital & facility affiliations2
- Care Compare profile
- Medicare participation
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses1
- Addresses
- Other identifiers1
- Electronic endpoints1
- NPI Registry JSON
- Other providers in Olympia, WA
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD00042124
- Practice address
- 615 Lilly Rd NE
Ste 200
Olympia, WA 98506-5117 - Phone
- (360) 413-8413
- Fax
- (360) 413-8879
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- No
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.
-
- Obstetrics & Gynecology Physician
- Silverdale, WA
- NPI 1962729525
Obstetrics & Gynecology, WA
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
WA
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1346250594
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1346250594
Hospital
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1619176997
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Indiana University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Obhg Washington PC
Practice addresses (Care Compare)
1700 13TH St
Everett, WA 98201-1689
Phone (800) 967-2289
Hospital & facility affiliations
- Providence St Peter Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050825000270 | WA | Practitioner - Obstetrics/Gynecology | 0941238323 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00042124 | WA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Obhg Washington, PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Providence Health & Services Washington | Past | Accepting new patients |
Locations
653 156th Ave NE
Bellevue, WA 98007
Phone 42564191058220
1700 13th St
Everett, WA 98201
Phone (425) 252-0895
34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100
413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480
700 Lilly Rd NE
Olympia, WA 98506
Phone (360) 923-7000
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
1800 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 337-8800
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
Interoperability endpoints
- mburtner185153@ghc.direct-ci.net
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD00042124 | WA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
615 Lilly Rd NE
Ste 200
Olympia, WA 98506-5117
Mailing address
PO Box 1008
Olympia, WA 98507-1008
Phone (360) 413-8413
Other practice location 1
700 Lilly Rd NE
Olympia, WA 98506-5115
Phone (360) 923-7000
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8362568 | Medicaid | WA |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync | Health Information Exchange (HIE) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 19, 2021.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1992850135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1008",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985071008",
"telephone_number": "360-413-8413",
"fax_number": "360-413-8879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 LILLY RD NE",
"address_2": "STE 200",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065117",
"telephone_number": "360-413-8413",
"fax_number": "360-413-8879"
}
],
"practiceLocations": [
{
"address_1": "700 Lilly Rd NE",
"address_purpose": "LOCATION",
"city": "Olympia",
"state": "WA",
"postal_code": "985065115",
"country_code": "US",
"telephone_number": "360-923-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURTNER",
"first_name": "MELISSA",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD00042124",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8362568",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "700 Lilly Rd NE",
"city": "Olympia",
"state": "WA",
"country_code": "US",
"postal_code": "985065115",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.