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EVELYN E BURDICK M.D.
NPI 1942243464
Family Medicine in Shorewood, WI

Active since June 13, 2006PECOS Enrolled
1901 E CAPITOL DR, SHOREWOOD, WI 53211(414) 962-7477(414) 962-2420 Get Directions Write a Review

NPPES record last updated: June 5, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Evelyn E Burdick M.d. NPPES

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

EVELYN E BURDICK M.D. (NPI 1942243464) is an individual family medicine provider in Shorewood, Wisconsin, licensed in Wisconsin (26930) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942243464
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameEVELYN E BURDICKCredential: M.D.
Location Address1901 E CAPITOL DRShorewood, WI 53211-2335
Mailing Address4425 N Port Washington Rd, Attn: Csmcp Clinic CredentialingGlendale, WI 53212-1082 · (414) 962-7477 · Fax (414) 962-2420
Phone(414) 962-7477
Fax(414) 962-2420
Sole ProprietorNo
Enumeration DateJune 13, 2006
Last NPPES UpdateJune 5, 2012
✔ NPI 1942243464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 26930
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1901 E CAPITOL DR, Shorewood, WI 53211
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evelyn E Burdick M.d. 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 Evelyn Burdick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Columbia St. Mary's Hospital Milwaukee Inc
1.9 mi
Multi-Specialty
2323 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 clinicians in this Medicare group
NPI 1225071491 (414) 585-1000

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 53211 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 4

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

JOHN J MILLER M.D.
Family Medicine
1901 E CAPITOL DR
SHOREWOOD, WI 53211
Milwaukee County (414) 962-7477
ADAM E. BLACKWELL M.D.
Family Medicine
1901 E CAPITOL DR
SHOREWOOD, WI 53211
Milwaukee County (414) 424-5300
KATIE CHRISTENSEN
Physician Assistant
1901 E CAPITOL DR
MILWAUKEE, WI 53211
Milwaukee County (414) 424-5300
SHOREWOOD FAMILY PHYSICIANS S C
Family Medicine
1901 E CAPITOL DR
SHOREWOOD, WI 53211
Milwaukee County (414) 962-7477

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 Evelyn Burdick's NPI number?

The NPI number for Evelyn Burdick is 1942243464. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Evelyn Burdick located?

Evelyn Burdick practices at 1901 E Capitol Dr, Shorewood, WI 53211. The listed phone number is (414) 962-7477.

What is Evelyn Burdick's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Evelyn Burdick enrolled in Medicare?

Yes. Evelyn Burdick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Evelyn Burdick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evelyn Burdick reassigns Medicare benefits to Columbia St. Mary's Hospital Milwaukee Inc (Milwaukee, WI). 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 Evelyn Burdick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Evelyn Burdick was last updated on June 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.