CAYLEY BURTIS (PA-C) – Physician Assistant, NPI 1043889553

CAYLEY BURTIS (PA-C) is a healthcare provider. based in Herrin, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085008290 (IL). The NPI Number for CAYLEY BURTIS (PA-C) is 1043889553

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
CAYLEY BURTIS (PA-C)
NPI
1043889553
Phone
(618) 942-2171
Address
201 S 14th St
Enumeration Date
19 June 2021
Last Update Date
13 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6189974332
Graduation Year
2021 (5 years ago)
PAC ID
9931503950
Group Practice PAC ID
9638083884
Professional Enrollment ID
I20210812000746
Address ID
IL629595270MA3106XDRXX300

Contacts

Secure Messaging
cmeiners40074@sih.direct-ci.com
Secure Messaging
cburtis40074@sih.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness95
Years active:4State licenses:1Other names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for CAYLEY BURTIS (PA-C)

  • 201 S 14th St

    Herrin, IL 629483631

    Phone: (618) 942-2171

    Fax: (618) 351-4917

    Type: Location

  • 405 W Jackson St

    Carbondale, IL 629011462

    Phone: (618) 549-0721

    Fax: (618) 457-0469

    Type: Location

  • 100 Dr Warren Tuttle Dr

    Harrisburg, IL 629462718

    Phone: (618) 252-0999

    Fax: (618) 252-2032

    Type: Location

  • 1007 US Highway 45 N

    Eldorado, IL 629303767

    Phone: (618) 273-7723

    Fax: (618) 351-4834

    Type: Location

  • 3106 OUTER DR STE 200

    MARION, IL 629595270

    Phone: (618) 997-4332

    Fax: (618) 997-6205

    Type: Mailing

  • PO BOX 3988

    CARBONDALE, IL 629023988

    Phone: (618) 457-5200

    Type: Mailing

  • 3106 OUTER DR

    MARION, IL 629595270

    Phone: (618) 998-0888

    Fax: (618) 351-4807

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 96 Open Payments records for all available years, with a total value of $1,480.

Total Amount is formed as General ($1,480) + Research ($0) + Ownership ($0) = $1,480.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($394).

Total Amount

$1,480

General + Research + Ownership

Payments

96

Total payment records

General Amount

$1,480

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2021-08-12

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
I20210812000746IPhysician AssistantILTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3220$0
View full utilization report →

Insurance plans in this area (ZIP 62948)

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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: 9638083884View full group profile
NameSpecialtyState
-IL
Cardiovascular Disease (Cardiology)IL
Nurse PractitionerIL
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
-IL
Clinical Social WorkerIL
-IL
Nurse PractitionerIL
P S Y C H I A T R YIL

Reviews

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Frequently asked questions

Is CAYLEY BURTIS (PA-C) listed with a National Provider Identifier?
Yes — CAYLEY BURTIS (PA-C) has NPI 1043889553 on file in the registry.
Is CAYLEY BURTIS (PA-C) still an active registrant?
CAYLEY BURTIS (PA-C) carries an active NPI according to the public dataset.
How would a patient describe CAYLEY BURTIS (PA-C)'s focus?
For CAYLEY BURTIS (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Illinois is CAYLEY BURTIS (PA-C) registered?
Use Herrin, Illinois as the headline location for CAYLEY BURTIS (PA-C) here.
What does 8 location(s) imply?
8 practice locations appear in the available data.

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