RITA A BURKHOLDER NP
NPI 1619100484
Nurse Practitioner - Family in Bloomington, IN

Q: What is Rita Burkholder's NPI number?

The NPI number for Rita Burkholder is 1619100484. It was assigned to this individual provider in the NPPES registry on August 27, 2009.

Q: What is Rita Burkholder's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rita Burkholder was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 27, 2009PECOS Enrolled

550 S LANDMARK AVE, BLOOMINGTON, IN 47403(812) 330-3689(812) 331-3656 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 3, 2020, Oct 12, 2016 (2 updates tracked since 2016).

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About Rita A Burkholder Np NPPES

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

RITA A BURKHOLDER NP (NPI 1619100484) is an individual family provider in Bloomington, Indiana, licensed in Indiana (71003020A) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619100484

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameRITA A BURKHOLDERCredential: NP

Location Address550 S LANDMARK AVEBloomington, IN 47403-3239

Mailing Address550 S Landmark AveBloomington, IN 47403-3239 · (812) 330-3689 · Fax (812) 331-3656

Phone(812) 330-3689

Fax(812) 331-3656

Sole ProprietorNo

Enumeration DateAugust 27, 2009

Last NPPES UpdateDecember 3, 20202 updates tracked since enumeration

NPPES CertifiedDecember 3, 2020

✔ NPI 1619100484 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 IN · 71003020A

550 S LANDMARK AVE, Bloomington, IN 47403

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Other Identifiers 1

Medicaid200953470IN

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rita A Burkholder 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.

Medicare Billing Reassignment

Medicare enrollment records show Rita Burkholder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Indiana University Health Southern Indiana Physicians, LLC

6.7 mi

Multi-Specialty

2651 E DISCOVERY PKWY
Bloomington, IN 47408

Reassigned Medicare billing, Indiana enrollment
783 clinicians in this Medicare group

NPI 1013953983 (812) 353-5252

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 47403 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers11 claims66 services$2.02 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

RUANA CRONIN NP

Nurse Practitioner (Family)