NICOLE M BURDGE NP
NPI 1629684865
Nurse Practitioner - Family in Saint Louis, MO
About Nicole M Burdge Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE M BURDGE NP (NPI 1629684865) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2020027480) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital South, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicole M Burdge Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Nicole Burdge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 120 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital South
Acute Care Hospitals · Saint Louis, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63128
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 Nicole Burdge's NPI number?
The NPI number for Nicole Burdge is 1629684865. It was assigned to this individual provider in the NPPES registry on September 22, 2020.
Where is Nicole Burdge located?
Nicole Burdge practices at 10004 Kennerly Rd Ste 115A, Saint Louis, MO 63128. The listed phone number is (314) 525-1538.
What is Nicole Burdge's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nicole Burdge enrolled in Medicare?
Yes. Nicole Burdge 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.
Which organization bills Medicare for Nicole Burdge's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Burdge reassigns Medicare benefits to Mercy Clinic Heart And Vascular, LLC (Saint Louis, MO). The 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 Nicole Burdge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Burdge accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Nicole Burdge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Nicole Burdge affiliated with any hospitals?
According to CMS data, Nicole Burdge is affiliated with Mercy Hospital South.
When was this NPI record last updated?
The NPPES record for Nicole Burdge was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Nicole M Burdge, NP · NPI 1629684865
Family physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since September 22, 2020.
## Identity
- **NPI:** 1629684865 (Entity type: Individual)
- **Enumerated:** September 22, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2020027480 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 10004 KENNERLY RD STE 115A, Saint Louis, MO 63128-5106
- **Phone:** (314) 525-1538
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mercy Clinic Heart And Vascular, LLC (NPI 1932176401, Saint Louis, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1629684865) · Data from the CMS NPPES public registry.