DONNETTA BURGESS APRN, CNP
NPI 1730786161
Nurse Practitioner in Urbana, IL

Q: What is Donnetta Burgess's NPI number?

The NPI number for Donnetta Burgess is 1730786161. It was assigned to this individual provider in the NPPES registry on October 8, 2020.

Q: What is Donnetta Burgess's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Donnetta Burgess was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 October 08, 2020PECOS EnrolledAccepts Medicare Assignment

509 W UNIVERSITY AVE, URBANA, IL 61801(217) 383-6636 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 18, 2024, Oct 8, 2020 (2 updates tracked since 2020).

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About Donnetta Burgess Aprn, Cnp NPPES

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

DONNETTA BURGESS APRN, CNP (NPI 1730786161) is an individual nurse practitioner in Urbana, Illinois, licensed in Illinois (209021365) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and maintains a secondary practice location in Paris.

NPPES Registry Identity

NPI1730786161

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDONNETTA BURGESSCredential: APRN, CNP

Location Address509 W UNIVERSITY AVEUrbana, IL 61801-1645

Mailing Address611 W Park St, FapcUrbana, IL 61801

Phone(217) 383-6636

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 8, 2020

Last NPPES UpdateApril 18, 20242 updates tracked since enumeration

NPPES CertifiedApril 18, 2024

✔ NPI 1730786161 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 IL · 209021365

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.

509 W UNIVERSITY AVE, Urbana, IL 61801

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Secondary Practice Location 1

Location 1721 E Court StParis, IL 61944-2460 · Phone (217) 465-4141

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

Donnetta Burgess Aprn, Cnp 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 ID2264844067

PECOS Enrollment IDI20201221001426

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 Reassignments

Medicare enrollment records show Donnetta Burgess reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carle Health Medical Group

0.1 mi

Internal Medicine

611 W PARK ST
Urbana, IL 61801

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Carle Health Care Incorporated
2,516 clinicians in this Medicare group

NPI 1154653947 (217) 383-8300

Hospital & Medical Foundation Of Paris, Inc.

33 mi

Rural Health

5 S. WALNUT ST.
Oakland, IL 61943

Reassigned Medicare billing, Illinois enrollment
216 clinicians in this Medicare group

NPI 1831559509 (217) 346-2353

Hoopeston Community Memorial Hospital

37 mi

Rural Health

801 E ORANGE ST
Hoopeston, IL 60942

Reassigned Medicare billing, Illinois enrollment
Also billed through NPI 1366480873 (Illinois)
488 clinicians in this Medicare group

NPI 1578504544 (214) 283-5644

Carle West Physician Group Inc

49 mi

Family Medicine

1302 FRANKLIN AVE STE 3400
Normal, IL 61761

Reassigned Medicare billing, Illinois enrollment
698 clinicians in this Medicare group

NPI 1467074138 (309) 556-8295

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 4

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.

52 services49 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

38 services30 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.

22 services21 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

14 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140091

Location611 West Park StreetUrbana, IL 61801 · Champaign County

Emergency services Birthing friendly

Paris Community Hospital

Critical Access Hospitals · Paris, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number141320

Location721 E Court StreetParis, IL 61944 · Edgar County

Emergency services

Union Hospital Inc

Acute Care Hospitals · Terre Haute, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150023

Location1606 N Seventh StTerre Haute, IN 47804 · Vigo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 20

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

JIAQIU SINHA NP

Nurse Practitioner (Family)