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MRS. KATHERINE ANNE BURNLEY ANP-C
NPI 1013397967
Nurse Practitioner in Maryville, IL

Active since June 05, 2015PECOS EnrolledAccepts Medicare Assignment
2133 VADALABENE DR, SUITE 5B, MARYVILLE, IL 62062(618) 288-7605(618) 288-7644 Get Directions Write a Review

NPPES record last updated: January 23, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Katherine Anne Burnley Anp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KATHERINE ANNE BURNLEY ANP-C (NPI 1013397967) is an individual nurse practitioner in Maryville, Illinois, licensed in Illinois (209012521) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1013397967
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. KATHERINE ANNE BURNLEYCredential: ANP-C
Location Address2133 VADALABENE DR, SUITE 5BMaryville, IL 62062-5839
Mailing Address2133 Vadalabene Dr, Suite 5bMaryville, IL 62062-5839 · (618) 288-7605 · Fax (618) 288-7644
Phone(618) 288-7605
Fax(618) 288-7644
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 5, 2015
Last NPPES UpdateJanuary 23, 2017
✔ NPI 1013397967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in IL · 209012521✔ Licensed in MO · 2014040193
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2133 VADALABENE DR, Maryville, IL 62062
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Other Identifiers 6

Medicare OSCAR/certificationMA1084014MO
Medicare OSCAR/certificationF400248973IL
Medicare OSCAR/certificationS390000145MO
Medicare OSCAR/certificationF400248972IL
Medicare OSCAR/certification1385530030MO
Medicare OSCAR/certificationF400248971IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Mrs. Katherine Anne Burnley Anp-c 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.

PECOS PAC ID749598829
PECOS Enrollment IDI20151009001780, I20151009001910
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Katherine Burnley reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Metro East Healthcare Limited
0.1 mi
Family Medicine
2133 VADALABENE DR STE 5B
Maryville, IL 62062
  • Reassigned Medicare billing, Illinois enrollment
  • 15 clinicians in this Medicare group
NPI 1083767479 (618) 288-7605
Generation Clinical Partners LLC
3.5 mi
Geriatric Medicine
27 AUERBACH PL
Glen Carbon, IL 62034
  • Reassigned Medicare billing, Illinois and Missouri enrollments
  • Also billed through NPI 1104235241 (Missouri)
  • 10 clinicians in this Medicare group
NPI 1366050007 (314) 925-0903
Sound Physicians Of Illinois, LLC
26 mi
Hospitalist
12303 DE PAUL DR
Bridgeton, MO 63044
  • Reassigned Medicare billing, Illinois and Missouri enrollments
  • 419 clinicians in this Medicare group
NPI 1043598865 (314) 344-6000
Specialized Wound Management LLC
33 mi
Adult Health
14805 N OUTER 40 RD, SUITE 320
Chesterfield, MO 63017
  • Reassigned Medicare billing, Illinois enrollment
  • 16 clinicians in this Medicare group
NPI 1962430157 (888) 811-4677
Pai Participant 27, PC
234 mi
Geriatric Medicine
7050 S MADISON ST
Willowbrook, IL 60527
  • Reassigned Medicare billing, Illinois enrollment
  • 17 clinicians in this Medicare group
NPI 1093398539 (630) 323-6380
Pai Participant 1 LLC
378 mi
Geriatric Medicine
60 MARIETTA RD
Chillicothe, OH 45601
  • Reassigned Medicare billing, Missouri enrollment
  • 23 clinicians in this Medicare group
NPI 1093371312 (859) 291-4800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
524 services102 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
290 services110 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
263 services92 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
152 services111 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
98 services44 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
93 services88 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62062 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
9%140 patients1/55-star benchmark: 92%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
43%602 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 57% · 527 patients
Patients tobacco: 61% · 145 patients
50%527 patients3/55-star benchmark: 98%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 5% · 174 patients
11%174 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$923.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MSA ALLIANCE, LLC
Surgery (Vascular Surgery)
2133 VADALABENE DR, SUITE 2
MARYVILLE, IL 62062
Madison County (618) 222-1020
DIANA DEMAY
Physical Therapy Assistant
2133 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 635-2200
DR. TAYLER RAE FAZIL AUD
Audiologist
2133 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 391-6714
LAUREN LICKWAR OT
Occupational Therapist
2133 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 635-2200
DR. HARESH K MOTWANI MD.
Family Medicine
2133 VADALABENE DR, SUITE # 5B
MARYVILLE, IL 62062
Madison County (618) 288-7605
ANDERSON HOSPITAL
Home Health
2133 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 288-9355

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 Katherine Burnley's NPI number?

The NPI number for Katherine Burnley is 1013397967. It was assigned to this individual provider in the NPPES registry on June 5, 2015.

Where is Katherine Burnley located?

Katherine Burnley practices at 2133 Vadalabene Dr Suite 5B, Maryville, IL 62062. The listed phone number is (618) 288-7605.

What is Katherine Burnley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Katherine Burnley enrolled in Medicare?

Yes. Katherine Burnley 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 Katherine Burnley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Burnley reassigns Medicare benefits to 6 organizations: Metro East Healthcare Limited (Maryville, IL), Generation Clinical Partners LLC (Glen Carbon, IL), Sound Physicians Of Illinois, LLC (Bridgeton, MO), Specialized Wound Management LLC (Chesterfield, MO), Pai Participant 27, PC (Willowbrook, IL) and 1 more organization, listed in the Medicare section above. 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 Katherine Burnley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Burnley accept?

Health plans from Medica list Katherine Burnley 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 Katherine Burnley was last updated on January 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.