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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE DANIELLE BURNS PA-C
NPI 1053849133
Physician Assistant in Cary, NC

Active since June 01, 2017PECOS EnrolledAccepts Medicare Assignment
79.34/100
CMS Quality Rating
1001 DARRINGTON DR STE 100, CARY, NC 27513(919) 882-6100(919) 877-4797 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 24, 2026, Jun 1, 2017 (2 updates tracked since 2017).

About Nicole Danielle Burns Pa-c NPPES

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

NICOLE DANIELLE BURNS PA-C (NPI 1053849133) is an individual physician assistant in Cary, North Carolina, licensed in North Carolina (0010-16460) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and maintains a secondary practice location in Exton.

NPPES Registry Identity

NPI1053849133
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE DANIELLE BURNSCredential: PA-C
Location Address1001 DARRINGTON DR STE 100Cary, NC 27513-8133
Mailing AddressPo Box 604337Charlotte, NC 28260-4337
Phone(919) 882-6100
Fax(919) 877-4797
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 1, 2017
Last NPPES UpdateJune 18, 20262 updates tracked since enumeration
NPPES CertifiedJune 18, 2026
✔ NPI 1053849133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-16460
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1001 DARRINGTON DR STE 100, Cary, NC 27513
Open in Google Maps ↗

Secondary Practice Location 1

Location 1278 Eagleview BlvdExton, PA 19341-1157 · Phone (610) 561-6400 · Fax (610) 561-6401

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and more.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

Nicole Danielle Burns Pa-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 ID3971873241
PECOS Enrollment IDI20170719001027, I20260514002120
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 10

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
619 services118 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.
227 services206 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
179 services120 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
68 services68 patients
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.
48 services45 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27513 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

79.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality85.09
Improvement Activities40
Cost51.03

Reported Quality Measures

Screening for Osteoporosis for Women Aged 65-85 Years of Age
56%139 patients3/55-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.

Other Providers at the Same Location NPPES 3

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

HEATHER MICHELLE SMITH PT
Physical Therapist
1001 DARRINGTON DR STE 100
CARY, NC 27513
Wake County (919) 882-6100
NOVANT HEALTH TRIANGLE MEDICAL GROUP, LLC
Orthopaedic Surgery
1001 DARRINGTON DR STE 100
CARY, NC 27513
Wake County (919) 882-6100
DR. MILAN MASON DIGIULIO MD
Orthopaedic Surgery
1001 DARRINGTON DR STE 100
CARY, NC 27513
Wake County (919) 882-6100

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 Nicole Burns's NPI number?

The NPI number for Nicole Burns is 1053849133. It was assigned to this individual provider in the NPPES registry on June 1, 2017.

Where is Nicole Burns located?

Nicole Burns practices at 1001 Darrington Dr Ste 100, Cary, NC 27513. The listed phone number is (919) 882-6100.

What is Nicole Burns's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Burns enrolled in Medicare?

Yes. Nicole 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 Nicole Burns accept?

Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and Oscar Insurance Company and 1 other insurer list Nicole 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 Nicole Burns affiliated with any hospitals?

According to CMS data, Nicole Burns is affiliated with Reading Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Burns was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.