PATRICIA BURNS APRN
NPI 1003225327
Nurse Practitioner - Family in Whitehall, OH
About Patricia Burns Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRICIA BURNS APRN (NPI 1003225327) is an individual family provider in Whitehall, Ohio, licensed in Ohio (APRN.CNP.024046) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Columbus, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Patricia Burns Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Patricia Burns reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbus, OH 43215
- Reassigned Medicare billing, Ohio enrollment
- 263 clinicians in this Medicare group
Cincinnati, OH 45206
- Reassigned Medicare billing, Ohio enrollment
- 168 clinicians in this Medicare group
Portland, OR 97204
- Reassigned Medicare billing, Ohio enrollment
- 162 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43213 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WHITEHALL, OH 43213
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Patricia Burns's NPI number?
The NPI number for Patricia Burns is 1003225327. It was assigned to this individual provider in the NPPES registry on August 12, 2014.
Where is Patricia Burns located?
Patricia Burns practices at 3768 E Main St, Whitehall, OH 43213. The listed phone number is (513) 834-7063.
What is Patricia Burns's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Patricia Burns enrolled in Medicare?
Yes. Patricia Burns is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Patricia Burns's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Burns reassigns Medicare benefits to 3 organizations: State Of Ohio Office Of Budget And Management, State Accounting (Columbus, OH), Brightview LLC (Cincinnati, OH) and Boulder Care Provider Group PA (Portland, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patricia Burns's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Patricia Burns accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Patricia Burns as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Patricia Burns was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Patricia Burns, APRN · NPI 1003225327
Family physician in Whitehall, Ohio. Individual provider, active in the CMS NPPES registry since August 12, 2014.
## Identity
- **NPI:** 1003225327 (Entity type: Individual)
- **Enumerated:** August 12, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN.CNP.024046 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3768 E MAIN ST, Whitehall, OH 43213-2925
- **Phone:** (513) 834-7063
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): State Of Ohio Office Of Budget And Management, State Accounting (NPI 1639148638, Columbus, OH); Brightview LLC (NPI 1518622489, Cincinnati, OH); Boulder Care Provider Group PA (NPI 1649838590, Portland, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1003225327) · Data from the CMS NPPES public registry.