THERESA A BURDICK FNP
NPI 1396882312
Nurse Practitioner - Family in Patterson, NY

Active since January 31, 2007PECOS Enrolled
40 JON BARRETT RD, PATTERSON, NY 12563(845) 878-9078(845) 878-6139 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Theresa A Burdick Fnp NPPES

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

THERESA A BURDICK FNP (NPI 1396882312) is an individual family provider in Patterson, New York, licensed in New York (F331500) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396882312
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHERESA A BURDICKCredential: FNP
Location Address40 JON BARRETT RDPatterson, NY 12563-2164
Mailing Address19 Ailish LnBrewster, NY 10509-2164 · (845) 278-8033
Fax(845) 878-6139
Sole ProprietorNo
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396882312 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 NY · F331500
40 JON BARRETT RD, Patterson, NY 12563

Other Identifiers 1

Medicare UPINP92800

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa A Burdick Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Theresa Burdick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Substance Abuse Rehabilitation Facility
75 SEMINARY HILL RD
Carmel, NY 10512
  • Reassigned Medicare billing, New York enrollment
  • 11 clinicians in this Medicare group
Rehabilitation, Substance Use Disorder
2435 6TH AVE
Troy, NY 12180
  • Reassigned Medicare billing, New York enrollment
  • 15 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12563 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

Psychologist (Clinical)
40 JON BARRETT RD
PATTERSON, NY 12563
Occupational Therapist
40 JON BARRETT RD
PATTERSON, NY 12563
Social Worker (Clinical)
40 JON BARRETT RD
PATTERSON, NY 12563
Physical Therapist
40 JON BARRETT RD
PATTERSON, NY 12563
Occupational Therapist
40 JON BARRETT RD
PATTERSON, NY 12563
Psychiatry & Neurology (Psychiatry)
40 JON BARRETT RD
PATTERSON, NY 12563
Registered Nurse
40 JON BARRETT RD
PATTERSON, NY 12563
Registered Nurse
40 JON BARRETT RD
PATTERSON, NY 12563

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 Theresa Burdick's NPI number?

The NPI number for Theresa Burdick is 1396882312. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Theresa Burdick located?

Theresa Burdick practices at 40 Jon Barrett Rd, Patterson, NY 12563. The listed phone number is (845) 878-9078.

What is Theresa Burdick's specialty?

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

Is Theresa Burdick enrolled in Medicare?

Yes. Theresa Burdick is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Theresa Burdick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Burdick reassigns Medicare benefits to 2 organizations: Arms Acres Inc (Carmel, NY) and Conifer Park, Inc. (Troy, NY). 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 Theresa Burdick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Theresa Burdick was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.