SIDNE BURKE FNP-C
NPI 1104762129
Nurse Practitioner - Family in Kennett, MO

Q: What is Sidne Burke's NPI number?

The NPI number for Sidne Burke is 1104762129. It was assigned to this individual provider in the NPPES registry on April 24, 2026.

Q: What is Sidne Burke's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sidne Burke was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 24, 2026PECOS Enrolled

1124 INDEPENDENCE AVE, KENNETT, MO 63857(573) 888-5892 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sidne Burke Fnp-c NPPES

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

SIDNE BURKE FNP-C (NPI 1104762129) is an individual family provider in Kennett, Missouri, licensed in Missouri (2026016933) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104762129

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSIDNE BURKECredential: FNP-C

Location Address1124 INDEPENDENCE AVEKennett, MO 63857-1314

Mailing Address1417 Gunner Reed RdKennett, MO 63857-8391

Phone(573) 888-5892

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateApril 24, 2026

NPPES CertifiedApril 24, 2026

✔ NPI 1104762129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2026016933

1124 INDEPENDENCE AVE, Kennett, MO 63857

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sidne Burke Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416429378

PECOS Enrollment IDI20260611003824

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63857 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

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Other Providers at the Same Location NPPES 8

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

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