KARRIE R BURNS APNP
NPI 1013563394
Nurse Practitioner - Family in Stoughton, WI

Active since August 13, 2019PECOS EnrolledAccepts Medicare Assignment
1001 NYGAARD ST, STOUGHTON, WI 53589(608) 877-2660 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2024, Oct 4, 2024, Dec 15, 2020 and 3 more (6 updates tracked since 2019).

About Karrie R Burns Apnp NPPES

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

KARRIE R BURNS APNP (NPI 1013563394) is an individual family provider in Stoughton, Wisconsin, licensed in Wisconsin (9295-33) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1013563394
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKARRIE R BURNSCredential: APNP
Location Address1001 NYGAARD STStoughton, WI 53589-5495
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 13, 2019
Last NPPES UpdateDecember 18, 20246 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
NPI 1013563394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WI · 9295-33
Also ListedNurse PractitionerTaxonomy 363L00000X · License 9295 (WI)
1001 NYGAARD ST, Stoughton, WI 53589

Other Names 1

Former Name (1)Karrie R Lynch Apnp

Other Identifiers 1

Medicaid1013563394WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Karrie R Burns Apnp 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 ID5698107795
PECOS Enrollment IDI20191111002574
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.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
197 services156 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
92 services92 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
60 services57 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
20 services19 patients
Diabetes outpatient self-management training services, individual, per 30 minutes G0108
This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.
20 services15 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Edgerton Hospital And Health Services

Critical Access Hospitals · Edgerton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521319
Location11101 N Sherman RoadEdgerton, WI 53534 · Rock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53589 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$9.87 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier12 claims12 services$140.37 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 9

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

Internal Medicine
1001 NYGAARD ST
STOUGHTON, WI 53589
Nurse Practitioner
1001 NYGAARD ST
STOUGHTON, WI 53589
Pediatrics
1001 NYGAARD ST
STOUGHTON, WI 53589
Pediatrics
1001 NYGAARD ST
STOUGHTON, WI 53589
Internal Medicine
1001 NYGAARD ST
STOUGHTON, WI 53589
Pediatrics
1001 NYGAARD ST
STOUGHTON, WI 53589
Nurse Practitioner (Pediatrics)
1001 NYGAARD ST
STOUGHTON, WI 53589
Pediatrics
1001 NYGAARD ST
STOUGHTON, WI 53589

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 Karrie Burns's NPI number?

The NPI number for Karrie Burns is 1013563394. It was assigned to this individual provider in the NPPES registry on August 13, 2019. The provider is also known as Karrie R Lynch Apnp.

Where is Karrie Burns located?

Karrie Burns practices at 1001 Nygaard St, Stoughton, WI 53589. The listed phone number is (608) 877-2660.

What is Karrie Burns's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Karrie Burns enrolled in Medicare?

Yes. Karrie 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.

What insurance does Karrie Burns accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, HealthPartners, Quartz and Security Health Plan list Karrie 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.

Is Karrie Burns affiliated with any hospitals?

According to CMS data, Karrie Burns is affiliated with University Of Wi Hospitals & Clinics Authority and Edgerton Hospital And Health Services.

When was this NPI record last updated?

The NPPES record for Karrie Burns was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.