ELIZABETH R. BURKHART NP
NPI 1558712646
Nurse Practitioner in Lagrange, IN

Q: What is Elizabeth Burkhart's NPI number?

The NPI number for Elizabeth Burkhart is 1558712646. It was assigned to this individual provider in the NPPES registry on June 29, 2016.

Q: What is Elizabeth Burkhart's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since June 29, 2016PECOS Enrolled

2500 N DETROIT ST, LAGRANGE, IN 46761(260) 463-2133(260) 463-3775 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 27, 2019, Jun 29, 2016 (2 updates tracked since 2016).

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About Elizabeth R. Burkhart Np NPPES

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

ELIZABETH R. BURKHART NP (NPI 1558712646) is an individual nurse practitioner in Lagrange, Indiana, licensed in Indiana (71006310A) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1558712646

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameELIZABETH R. BURKHARTCredential: NP

Location Address2500 N DETROIT STLagrange, IN 46761

Mailing AddressPo Box 236Lagrange, IN 46761-0236 · (260) 463-2133 · Fax (260) 463-3775

Phone(260) 463-2133

Fax(260) 463-3775

Sole ProprietorNo

Enumeration DateJune 29, 2016

Last NPPES UpdateFebruary 27, 20192 updates tracked since enumeration

✔ NPI 1558712646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IN · 71006310A

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2500 N DETROIT ST, Lagrange, IN 46761

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Secondary Practice Locations 2

Location 17950 W Jefferson BlvdFort Wayne, IN 46804-4140 · Phone (260) 203-9600 · Fax (260) 407-8006

Location 2610 N Sawyer RdKendallville, IN 46755-2566 · Phone (260) 347-5592 · Fax (260) 347-5155

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth R. Burkhart Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46761 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%65 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

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