ERIKA DENISE BURNSIDE APRN
NPI 1386236917
Nurse Practitioner - Family in Lexington, KY

Active since February 04, 2021PECOS EnrolledAccepts Medicare Assignment
60.28/100
CMS Quality Rating
1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511(859) 253-1686 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 8, 2022, Mar 8, 2021, Feb 25, 2021 and 1 more (4 updates tracked since 2021).

About Erika Denise Burnside Aprn NPPES

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

ERIKA DENISE BURNSIDE APRN (NPI 1386236917) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3015576) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1386236917
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERIKA DENISE BURNSIDECredential: APRN
Location Address1351 NEWTOWN PIKE BLDG 1Lexington, KY 40511-1317
Mailing Address1351 Newtown Pike Bldg 1Lexington, KY 40511-1317 · (859) 253-1686
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 4, 2021
Last NPPES UpdateMarch 8, 20224 updates tracked since enumeration
NPPES CertifiedMarch 8, 2022
NPI 1386236917 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 KY · 3015576
1351 NEWTOWN PIKE BLDG 1, Lexington, KY 40511

Other Identifiers 2

Medicaid1790731081KY
Medicaid7100724440KY

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

Erika Denise Burnside Aprn 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 ID6406262294
PECOS Enrollment IDI20210302001905
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 40511 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

60.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality18.81
Improvement Activities40
Cost99.79

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.

Community Health Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Counselor (Mental Health)
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Social Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Peer Specialist
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Social Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Community Health Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Social Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Peer Specialist
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511

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 Erika Burnside's NPI number?

The NPI number for Erika Burnside is 1386236917. It was assigned to this individual provider in the NPPES registry on February 4, 2021.

Where is Erika Burnside located?

Erika Burnside practices at 1351 Newtown Pike Bldg 1, Lexington, KY 40511. The listed phone number is (859) 253-1686.

What is Erika Burnside's specialty?

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

Is Erika Burnside enrolled in Medicare?

Yes. Erika Burnside 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.

When was this NPI record last updated?

The NPPES record for Erika Burnside was last updated on March 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.