MRS. ELLEN SHEA BURCH-BURKHALTER (PA-C) – Physician Assistant, NPI 1154570760

MRS. ELLEN SHEA BURCH-BURKHALTER (PA-C) is a healthcare provider. based in Montgomery, Alabama. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA-593 (AL). The NPI Number for MRS. ELLEN SHEA BURCH-BURKHALTER (PA-C) is 1154570760

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ELLEN SHEA BURCH-BURKHALTER (PA-C)
NPI
1154570760
Phone
(334) 270-9914
Address
2257 TAYLOR RD
Enumeration Date
18 September 2008
Last Update Date
9 November 2010

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2008 (18 years ago)
PAC ID
2567522071
Group Practice PAC ID
4688744261
Professional Enrollment ID
I20081113000432
Address ID
AL361063080Mo4712XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,202 PHYSICIAN ASSISTANT in AL

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Provider Addresses for MRS. ELLEN SHEA BURCH-BURKHALTER (PA-C)

  • 2257, Taylor Road, Halcyon, Montgomery, Montgomery County, Alabama, 36117, United States

    SUITE 200

    MONTGOMERY, AL 361177790

    Phone: (334) 270-9914

    Fax: (334) 270-3195

    Type: Mailing

  • 4712, Berry Boulevard, Young Place, Montgomery, Montgomery County, Alabama, 36106, United States

    MONTGOMERY, AL 361063080

    Phone: (334) 834-3094

    Fax: (334) 263-0598

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 379 Open Payments records for all available years, with a total value of $7,667.

Total Amount is formed as General ($7,667) + Research ($0) + Ownership ($0) = $7,667.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($1,756).

Total Amount

$7,667

General + Research + Ownership

Payments

379

Total payment records

General Amount

$7,667

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-11-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081113000432IPhysician AssistantALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths1,065212$0
99213Established patient office or other outpatient visit, 20-29 minutes598429$0
17000Destruction of precancer skin growth, 1 growth377284$0
17110Destruction of skin growth, 1-14 growths305245$0
11102Biopsy of related skin growth, first growth153139$0
View full utilization report →

Insurance plans in this area (ZIP 36117)

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Provider's Procedures

MRS. ELLEN SHEA BURCH-BURKHALTER (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTAL11101Biopsy of each additional growth of skin and/or tissue5443
PHYSICIAN ASSISTANTAL17003Destruction of 2-14 skin growths662152

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688744261View full group profile
NameSpecialtyState
D E R M A T O L O G YAL
Physician AssistantAL

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Frequently asked questions

Is MRS. ELLEN SHEA BURCH-BURKHALTER (PA-C) listed with a National Provider Identifier?
Yes — MRS. ELLEN SHEA BURCH-BURKHALTER (PA-C) has NPI 1154570760 on file in the registry.
Is MRS. ELLEN SHEA BURCH-BURKHALTER (PA-C) still an active registrant?
MRS. ELLEN SHEA BURCH-BURKHALTER (PA-C) carries an active NPI according to the public dataset.
What expertise is attributed to MRS. ELLEN SHEA BURCH-BURKHALTER (PA-C)?
MRS. ELLEN SHEA BURCH-BURKHALTER (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MRS. ELLEN SHEA BURCH-BURKHALTER (PA-C) located near Montgomery?
MRS. ELLEN SHEA BURCH-BURKHALTER (PA-C) currently maps to Montgomery, Alabama in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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