KARLA BURNS NP
NPI 1255040440
Nurse Practitioner - Family in Worcester, MA

Active since November 16, 2022PECOS EnrolledAccepts Medicare Assignment
19 TACOMA ST, WORCESTER, MA 01605(508) 852-1805 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2024, Nov 16, 2022 (2 updates tracked since 2022).

About Karla Burns Np NPPES

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

KARLA BURNS NP (NPI 1255040440) is an individual family provider in Worcester, Massachusetts, licensed in Virginia (0024189273) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, is affiliated with Virginia Hospital Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1255040440
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKARLA BURNSCredential: NP
Location Address19 TACOMA STWorcester, MA 01605-3516
Mailing Address207 Coburn AveWorcester, MA 01604-1133 · (802) 343-7862
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 16, 2022
Last NPPES UpdateMarch 4, 20242 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
NPI 1255040440 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 VA · 0024189273
19 TACOMA ST, Worcester, MA 01605

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

Karla Burns Np 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 ID4183061203
PECOS Enrollment IDI20240326000696
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
40 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490050
Location1701 North George Mason DriveArlington, VA 22205 · Arlington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Registered Nurse
19 TACOMA ST
WORCESTER, MA 01605
Registered Nurse
19 TACOMA ST
WORCESTER, MA 01605
Registered Nurse
19 TACOMA ST
WORCESTER, MA 01605
Pharmacy (Clinic Pharmacy)
19 TACOMA ST
WORCESTER, MA 01605
Licensed Practical Nurse
19 TACOMA ST
WORCESTER, MA 01605
Pharmacist
19 TACOMA ST
WORCESTER, MA 01605
Physician Assistant
19 TACOMA ST
WORCESTER, MA 01605
Registered Nurse
19 TACOMA ST
WORCESTER, MA 01605

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 Karla Burns's NPI number?

The NPI number for Karla Burns is 1255040440. It was assigned to this individual provider in the NPPES registry on November 16, 2022.

Where is Karla Burns located?

Karla Burns practices at 19 Tacoma St, Worcester, MA 01605. The listed phone number is (508) 852-1805.

What is Karla Burns's specialty?

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

Is Karla Burns enrolled in Medicare?

Yes. Karla 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.

Is Karla Burns affiliated with any hospitals?

According to CMS data, Karla Burns is affiliated with Virginia Hospital Center.

When was this NPI record last updated?

The NPPES record for Karla Burns was last updated on March 4, 2024. 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.