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NICOLE M BURDGE NP
NPI 1629684865
Nurse Practitioner - Family in Saint Louis, MO

Active since September 22, 2020PECOS EnrolledAccepts Medicare Assignment
10004 KENNERLY RD STE 115A, SAINT LOUIS, MO 63128(314) 525-1538 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2024, Jun 12, 2024, Mar 9, 2023 and 1 more (4 updates tracked since 2020).

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

NPI1629684865
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE M BURDGECredential: NP
Location Address10004 KENNERLY RD STE 115ASaint Louis, MO 63128-5106
Mailing Address10004 Kennerly Rd Ste 115aSaint Louis, MO 63128-5106 · (314) 525-1538
Phone(314) 525-1538
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 22, 2020
Last NPPES UpdateDecember 17, 20244 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
✔ NPI 1629684865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2020027480
Also ListedNurse PractitionerTaxonomy 363L00000X · License 2020027480 (MO)
10004 KENNERLY RD STE 115A, Saint Louis, MO 63128
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID648684282
PECOS Enrollment IDI20210122001067
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
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.
134 services102 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
84 services67 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
20 services20 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
14 services11 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
13 services13 patients

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, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

Physician 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.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ELAINE SUZANNE WELCH APRN
Nurse Practitioner (Acute Care)
10004 KENNERLY RD STE 115A
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1538

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.

What insurance does Nicole Burdge accept?

Health plans from Medica and UnitedHealthcare 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 19 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.