JANELLE FURIA BURKE PA-C
NPI 1477185510
Physician Assistant in Newark, DE


Quality Rating: 77.96 out of 100 score

NPI Status: Active since February 06, 2020

Contact Information

200 HYGEIA DR
NEWARK, DE
ZIP 19713
Phone: (302) 273-1701
Fax: (302) 273-4497

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  • Individual
  • Female
  • Years of Experience 7
  • Physician Assistant
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JANELLE BURKE

This page provides the complete NPI Profile along with additional information for Janelle Burke, a primary care provider established in Newark, Delaware with a medical specialization in Physician Assistant and more than 7 years of experience. The healthcare provider is registered in the NPI registry with number 1477185510 assigned on February 2020. The practitioner's primary taxonomy code is 363A00000X with license number C5-0012006 (DE). The provider is registered as an individual and her NPI record was last updated February 2025.

NPI
1477185510
Provider Name
JANELLE FURIA BURKE PA-C
Gender
Female
Entity Type
Individual
Location Address
200 HYGEIA DR NEWARK, DE 19713
Location Phone
(302) 273-1701
Location Fax
(302) 273-4497
Mailing Address
PO BOX 13579 READING, PA 19612
Mailing Phone
(484) 628-1324
Medical School Name
OTHER
Graduation Year
2019
Is Sole Proprietor?
No
Enumeration Date
02-06-2020
Last Update Date
02-25-2025
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A primary care provider (PCP) like Janelle Burke sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Secondary Locations

  • 400 Fayette St Ste 180
    Conshohocken, PA 19428
    (484) 243-6622

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
C5-0012006
License State
DE
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
  • AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
  • AmeriHealth Caritas Next Gold Deluxe + No Referrals - HMO
  • AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Deluxe + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Signature + No Referrals - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Janelle Burke is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Janelle Burke is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9133558703

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20231205000150

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of vaccine

Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.

This service was performed 13 times for 13 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

This service was performed 11 times for 11 patients

Detection test by immunoassay with direct visual observation for influenza virus

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

This service was performed 22 times for 11 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

This service was performed 26 times for 26 patients

Diphtheria and tetanus vaccine (7 years or older)

The Diphtheria and Tetanus vaccine is a preventive measure given to individuals aged 7 or older. It helps your body develop immunity to these serious diseases. The vaccine is typically administered as a shot in the arm or thigh. It's a crucial part of maintaining your health.

This service was performed 13 times for 13 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 34 times for 34 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 52 times for 51 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 38 times for 38 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 38 times for 38 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

This service was performed 32 times for 31 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $22.09 for a new patient copayment and $17.79 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 19713 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $88.37
  • Minimum New Patient Price $57.12
  • Maximum New Patient Price $173.08
  • Average New Patient Copayment $22.09
  • Minimum New Patient Copayment $14.28
  • Maximum New Patient Copayment $43.27

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $71.19
  • Minimum Established Patient Price $18.36
  • Maximum Established Patient Price $141.05
  • Average Established Patient Copayment $17.79
  • Minimum Established Patient Copayment $4.59
  • Maximum Established Patient Copayment $35.26

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 77.96, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 77.96 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 64.28

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 62.24

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 62.24

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1477185510
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24147281052
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 2 + 8 + 1 + 0 + 5 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1477185510 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MR. JAMES ANTHONY NERI PT

Physical Therapist

200 HYGEIA DR
NEWARK, DE
ZIP 19713

(302) 623-0390

ALFRED FLETCHER MD

Family Medicine

200 HYGEIA DR
NEWARK, DE
ZIP 19713

(302) 623-0100

BARBARA HAMMING MD

Family Medicine

200 HYGEIA DR
NEWARK, DE
ZIP 19713

(302) 623-0100

YVONNE TING MD

Family Medicine

200 HYGEIA DR
NEWARK, DE
ZIP 19713

(302) 623-0200

ELIZABETH A JACKOVIC DO

Family Medicine

200 HYGEIA DR
NEWARK, DE
ZIP 19713

(302) 623-0100

MARY KOBAK MD

Family Medicine

200 HYGEIA DR
NEWARK, DE
ZIP 19713

(302) 623-0100

JOHN OTTO OD

Optometrist

200 HYGEIA DR
NEWARK, DE
ZIP 19713

(302) 623-0100

PAUL NICHOLASEN MD

Internal Medicine

200 HYGEIA DR
NEWARK, DE
ZIP 19713

(302) 623-0100

TONY BIANCHETTA MD

Internal Medicine

200 HYGEIA DR
NEWARK, DE
ZIP 19713

(302) 623-0220

JOHN A DONNELLY MD

Internal Medicine

200 HYGEIA DR
UNIT A
NEWARK, DE
ZIP 19713

(302) 623-0100

DR. MARC T ZUBROW MD

Internal Medicine

(Pulmonary Disease)

200 HYGEIA DR
ROOM 2470
NEWARK, DE
ZIP 19713

(302) 623-0616

CHRISTIANA CARE HEALTH INITIATIVES

Radiology

(Diagnostic Radiology)

200 HYGEIA DR
SUITE 2300
NEWARK, DE
ZIP 19713

(302) 623-7153

ANN DUCH

Physical Therapist

200 HYGEIA DR
PT PLUS
NEWARK, DE
ZIP 19713

(302) 623-0390

MR. KEVIN R BAILEY PT, MPT, SCS, ATC

Physical Therapist

200 HYGEIA DR
CHRISTIANA CARE PT PLUS
NEWARK, DE
ZIP 19713

(302) 623-0390

ANGELA CROUCH

Physical Therapist

200 HYGEIA DR
PT PLUS
NEWARK, DE
ZIP 19713

(302) 623-0390

CHRISTIANA CARE HEALTH INITIATIVES, INC

Physical Therapist

200 HYGEIA DR
NEWARK, DE
ZIP 19713

(302) 623-0390

LINEN J POK OD

Optometrist

200 HYGEIA DR
NEWARK, DE
ZIP 19713

(302) 623-0100

CHRISTIANA CARE HEALTH INITIATIVES, INC.

Home Infusion

200 HYGEIA DR
SUITE 240
NEWARK, DE
ZIP 19713

(302) 623-0345

DR. EDMONDO JOVAN ROBINSON M.D.

Hospitalist

200 HYGEIA DR
NEWARK, DE
ZIP 19713

(302) 428-4625

DAWN ELLEN HIROKAWA M.D., MPH

Dermatology

200 HYGEIA DR
UNIT D
NEWARK, DE
ZIP 19713

(302) 623-0100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477185510, enumerated as an "individual" on February 06, 2020.

The provider is located at 200 HYGEIA DR NEWARK, DE 19713 and the phone number is (302) 273-1701.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: AmeriHealth Caritas Next. Please consult your insurance carrier or call the provider to verify.