MRS. KATHERINE ANNE BURNLEY (ANP-C) – Nurse Practitioner, NPI 1013397967

MRS. KATHERINE ANNE BURNLEY (ANP-C) is a healthcare provider. based in Maryville, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP-C. They hold a License No. 2014040193 (MO). The NPI Number for MRS. KATHERINE ANNE BURNLEY (ANP-C) is 1013397967

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KATHERINE ANNE BURNLEY (ANP-C)
NPI
1013397967
Phone
(618) 288-7605
Address
2133 VADALABENE DR
Enumeration Date
5 June 2015
Last Update Date
23 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6183946400
Graduation Year
2014 (12 years ago)
PAC ID
0749598829
Group Practice PAC ID
2668872672
Professional Enrollment ID
I20151009001910
Address ID
IL622231026BE726XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:11State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MRS. KATHERINE ANNE BURNLEY (ANP-C)

  • 2133 VADALABENE DR

    SUITE 5B

    MARYVILLE, IL 620625839

    Phone: (618) 288-7605

    Fax: (618) 288-7644

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-10-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20151009001780INurse PractitionerMOTBD
I20151009001910INurse PractitionerILTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes420190$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes387179$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes382159$0
99497Advance care planning, first 30 minutes156128$0
99316Nursing facility discharge management, more than 30 minutes128123$0
View full utilization report →

Insurance plans in this area (ZIP 62062)

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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: 2668872672View full group profile
NameSpecialtyState
Geriatric Medicine, Internal MedicineIL
Nurse PractitionerMO
Nurse PractitionerIL
Internal MedicineMO

Reviews

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Frequently asked questions

What NPI should I save for MRS. KATHERINE ANNE BURNLEY (ANP-C)?
Save NPI 1013397967 if you need a stable reference for MRS. KATHERINE ANNE BURNLEY (ANP-C).
Is MRS. KATHERINE ANNE BURNLEY (ANP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MRS. KATHERINE ANNE BURNLEY (ANP-C)?
The page reflects Nurse Practitioner for MRS. KATHERINE ANNE BURNLEY (ANP-C). Clinical services aligned with this taxonomy classification.
Does MRS. KATHERINE ANNE BURNLEY (ANP-C) practice in Illinois?
You will see Maryville, Illinois on file for MRS. KATHERINE ANNE BURNLEY (ANP-C) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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