MARYBETH ARCEO BURRISS-WEST
NPI 1023646825
Pediatrics - Pediatric Critical Care Medicine in Charlotte, NC

Active since March 29, 2020PECOS Enrolled
1000 BLYTHE BLVD FL 4, CHARLOTTE, NC 28203(704) 381-6800(704) 381-6841 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 26, 2025, Mar 29, 2020 (2 updates tracked since 2020).

About Marybeth Arceo Burriss-west NPPES

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

MARYBETH ARCEO BURRISS-WEST (NPI 1023646825) is an individual pediatric critical care medicine provider in Charlotte, North Carolina, licensed in North Carolina (261027) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023646825
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameMARYBETH ARCEO BURRISS-WEST
Location Address1000 BLYTHE BLVD FL 4Charlotte, NC 28203-5812
Mailing Address4008 Lila Blue LnRaleigh, NC 27612-6955 · (919) 274-0821
Fax(704) 381-6841
Sole ProprietorNo
Enumeration DateMarch 29, 2020
Last NPPES UpdateMarch 26, 20252 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
NPI 1023646825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in NC · 261027
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 261027 (NC)
1000 BLYTHE BLVD FL 4, Charlotte, NC 28203

Other Names 1

Former Name (1)Marybeth Arceo Burriss

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Marybeth Arceo Burriss-west is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Student in an Organized Health Care Education/Training Program
1000 BLYTHE BLVD FL 4
CHARLOTTE, NC 28203
Student in an Organized Health Care Education/Training Program
1000 BLYTHE BLVD FL 4
CHARLOTTE, NC 28203
Student in an Organized Health Care Education/Training Program
1000 BLYTHE BLVD FL 4
CHARLOTTE, NC 28203
Student in an Organized Health Care Education/Training Program
1000 BLYTHE BLVD FL 4
CHARLOTTE, NC 28203
Pediatrics
1000 BLYTHE BLVD FL 4
CHARLOTTE, NC 28203
Pathology (Anatomic Pathology & Clinical Pathology)
1000 BLYTHE BLVD FL 4
CHARLOTTE, NC 28203
Pediatrics
1000 BLYTHE BLVD FL 4
CHARLOTTE, NC 28203
Student in an Organized Health Care Education/Training Program
1000 BLYTHE BLVD FL 4
CHARLOTTE, NC 28203

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 Marybeth Burriss-west's NPI number?

The NPI number for Marybeth Burriss-west is 1023646825. It was assigned to this individual provider in the NPPES registry on March 29, 2020. The provider is also known as Marybeth Arceo Burriss.

Where is Marybeth Burriss-west located?

Marybeth Burriss-west practices at 1000 Blythe Blvd Fl 4, Charlotte, NC 28203. The listed phone number is (704) 381-6800.

What is Marybeth Burriss-west's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Marybeth Burriss-west enrolled in Medicare?

Yes. Marybeth Burriss-west is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marybeth Burriss-west was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.