NICHOLAS ANTONIO BURKE
NPI 1174144364
Emergency Medicine in Mount Vernon, IL

Q: What is Nicholas Burke's NPI number?

The NPI number for Nicholas Burke is 1174144364. It was assigned to this individual provider in the NPPES registry on April 29, 2020.

Q: What is Nicholas Burke's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Burke was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 29, 2020PECOS EnrolledAccepts Medicare Assignment

1 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864(618) 242-4600 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Nicholas Antonio Burke NPPES

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

NICHOLAS ANTONIO BURKE (NPI 1174144364) is an individual emergency medicine provider in Mount Vernon, Illinois, licensed in Illinois (036165520) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Hlth Center, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2020).

NPPES Registry Identity

NPI1174144364

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameNICHOLAS ANTONIO BURKE

Location Address1 GOOD SAMARITAN WAYMount Vernon, IL 62864-2402

Mailing Address58654 Valley View DrWashington, MI 48094-0901 · (586) 246-0714

Phone(618) 242-4600

Sole ProprietorNo

Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2020

Enumeration DateApril 29, 2020

Last NPPES UpdateNovember 3, 2023

NPPES CertifiedNovember 3, 2023

✔ NPI 1174144364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IL · 036165520

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1 GOOD SAMARITAN WAY, Mount Vernon, IL 62864

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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

Nicholas Antonio Burke 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 ID3476974270

PECOS Enrollment IDI20230918004082

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

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

Midwest Emergency Good Samaritan, Inc

2.2 mi

Emergency Medicine

605 N 12TH ST
Mount Vernon, IL 62864

Reassigned Medicare billing, Illinois enrollment
81 clinicians in this Medicare group

NPI 1629367578 (817) 451-4208

Midwest Emergency Centralia Campus Associates, Inc

20 mi

Emergency Medicine

400 NORTH PLEASANT AVENUE
Centralia, IL 62801

Reassigned Medicare billing, Illinois enrollment
69 clinicians in this Medicare group

NPI 1396034245 (817) 451-4208

Midwest Emergency Sparta, Inc

45 mi

Emergency Medicine

818 E BROADWAY ST
Sparta, IL 62286

Reassigned Medicare billing, Illinois enrollment
67 clinicians in this Medicare group

NPI 1194162370 (817) 451-4208

Midwest Inpatient Anderson Health, Inc

65 mi

Emergency Medicine

6800 IL 162
Maryville, IL 62062

Reassigned Medicare billing, Illinois enrollment
124 clinicians in this Medicare group

NPI 1821758608 (618) 288-5711

Touchette Regional Hospital Inc

69 mi

Emergency Medicine

5900 BOND AVE
Cahokia Heights, IL 62207

Reassigned Medicare billing, Illinois enrollment
68 clinicians in this Medicare group

NPI 1922019926 (618) 332-3060

Midwest Emergency Anderson Health, Inc

70 mi

Emergency Medicine

400 N CALDWELL ST
Staunton, IL 62088

Reassigned Medicare billing, Illinois enrollment
121 clinicians in this Medicare group

NPI 1710647615 (618) 635-2200

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 2

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

236 services223 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

39 services39 patients

Hospital Affiliations CMS Care Compare 3

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

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140046

Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County

Emergency services Birthing friendly

Touchette Regional Hospital Inc

Acute Care Hospitals · Centreville, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number140077

Location5900 Bond AvenueCentreville, IL 62207 · St. Clair County

Emergency services

Anderson Hospital

Acute Care Hospitals · Maryville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140289

Location6800 State Route 162Maryville, IL 62062 · Madison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62864 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

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.

DR. EMMANUEL LOUTRIANAKIS MD

Internal Medicine (Interventional Cardiology)

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (847) 736-0506

DR. QING KEVIN LUO M.D.

Internal Medicine

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (618) 242-4600

GOOD SAMARITAN REGIONAL HEALTH CENTER

Rehabilitation Unit

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (618) 242-4600

ADELAIDE HORCHER M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (618) 242-4600

MRS. JILL CLARKE PHARM. D.

Pharmacist

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (618) 899-3426

KENT S QUINN MD

Radiology (Body Imaging)

1 GOOD SAMARITAN WAY, ATTN RADIOLOGY DEPT
MOUNT VERNON, IL 62864

Jefferson County (618) 242-4600

GOOD SAMARITAN REGIONAL HEALTH CENTER

Specialist

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (618) 899-4600

DEREK BURNS PHARMD

Pharmacist

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (618) 899-3426

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 Nicholas Burke's NPI number?

The NPI number for Nicholas Burke is 1174144364. It was assigned to this individual provider in the NPPES registry on April 29, 2020.

Where is Nicholas Burke located?

Nicholas Burke practices at 1 Good Samaritan Way, Mount Vernon, IL 62864. The listed phone number is (618) 242-4600.

What is Nicholas Burke's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nicholas Burke enrolled in Medicare?

Yes. Nicholas Burke 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 Nicholas Burke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Burke reassigns Medicare benefits to 6 organizations: Midwest Emergency Good Samaritan, Inc (Mount Vernon, IL), Midwest Emergency Centralia Campus Associates, Inc (Centralia, IL), Midwest Emergency Sparta, Inc (Sparta, IL), Midwest Inpatient Anderson Health, Inc (Maryville, IL), Touchette Regional Hospital Inc (Cahokia Heights, 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 Nicholas Burke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nicholas Burke affiliated with any hospitals?

According to CMS data, Nicholas Burke is affiliated with Good Samaritan Regional Hlth Center, Touchette Regional Hospital Inc and Anderson Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Burke was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.