EDRA BURRIS PA-C
NPI 1215546791
Physician Assistant in Grand Rapids, MI

Q: What is Edra Burris's NPI number?

The NPI number for Edra Burris is 1215546791. It was assigned to this individual provider in the NPPES registry on July 30, 2020.

Q: What is Edra Burris's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Edra Burris was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 30, 2020PECOS EnrolledAccepts Medicare Assignment

84.16/100

CMS Quality Rating

3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525(616) 363-7272 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2023, Jul 30, 2020 (2 updates tracked since 2020).

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About Edra Burris Pa-c NPPES

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

EDRA BURRIS PA-C (NPI 1215546791) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601009573) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Franciscan Health Lafayette, and maintains a secondary practice location in Terre Haute.

NPPES Registry Identity

NPI1215546791

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameEDRA BURRISCredential: PA-C

Location Address3264 N EVERGREEN DR NEGrand Rapids, MI 49525-9746

Mailing Address3264 N Evergreen Dr NeGrand Rapids, MI 49525-9746 · (616) 363-7272

Phone(616) 363-7272

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 30, 2020

Last NPPES UpdateJanuary 10, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 10, 2023

✔ NPI 1215546791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601009573

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.

Also ListedRadiology Practitioner AssistantTaxonomy 243U00000X · License 5601009573 (MI)

3264 N EVERGREEN DR NE, Grand Rapids, MI 49525

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Secondary Practice Location 1

Location 11606 N 7th StTerre Haute, IN 47804-2706 · Phone (812) 238-7000

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

Edra Burris 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 ID5193140523

PECOS Enrollment IDI20200803001136

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.

Hospital Affiliations CMS Care Compare 2

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

Franciscan Health Lafayette

Acute Care Hospitals · Lafayette, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150109

Location1701 S Creasy LnLafayette, IN 47905 · Tippecanoe County

Emergency services Birthing friendly

Franciscan Health Rensselaer, Inc

Critical Access Hospitals · Rensselaer, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number151324

Location1104 E Grace StRensselaer, IN 47978 · Jasper County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

84.16/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

86.28

Improvement Activities

Cost

67.44

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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. JON R HENKE MD

Radiology (Diagnostic Radiology)