MRS. NICOLE ALYSON BURKS
NPI 1972200749
Physician Assistant in South Charleston, WV

Q: What is Nicole Burks's NPI number?

The NPI number for Nicole Burks is 1972200749. It was assigned to this individual provider in the NPPES registry on February 13, 2023.

Q: What is Nicole Burks's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Burks was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 February 13, 2023PECOS EnrolledAccepts Medicare Assignment

4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309(304) 766-3600 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Nicole Alyson Burks NPPES

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

MRS. NICOLE ALYSON BURKS (NPI 1972200749) is an individual physician assistant in South Charleston, West Virginia and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with Thomas Memorial Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1972200749

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. NICOLE ALYSON BURKS

Location Address4605 MACCORKLE AVE SWSouth Charleston, WV 25309-1398

Mailing Address1227 Chestnut StSouth Charleston, WV 25309-9661 · (540) 878-1354

Phone(304) 766-3600

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 13, 2023

NPPES CertifiedFebruary 13, 2023

✔ NPI 1972200749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4605 MACCORKLE AVE SW, South Charleston, WV 25309

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Accepted Insurance

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

Mrs. Nicole Alyson Burks 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 ID6204360043

PECOS Enrollment IDI20241115001067

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.

Hospital Affiliations CMS Care Compare

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

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510029

Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25309 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$66.84 typical visit price

range $16.47 – $133.29

Typical copayment $16.71 (range $4.11 – $33.32)

Most-billed visit code 99213

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.

DUSTIN CRITES

Physician Assistant