MICHELLE BURWELL (PA-C) – Physician Assistant, NPI 1841239316
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for MICHELLE BURWELL (PA-C)
4103 S Water Tower Pl
Mount Vernon, IL 628646293
Phone: (618) 899-3500
Type: Location
2 GOOD SAMARITAN WAY STE 420
MOUNT VERNON, IL 628642478
Phone: (618) 899-4000
Fax: (618) 899-4790
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 113 Open Payments records for all available years, with a total value of $1,857.
Total Amount is formed as General ($1,857) + Research ($0) + Ownership ($0) = $1,857.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novo Nordisk Inc ($507).
Total Amount
$1,857
General + Research + Ownership
Payments
113
Total payment records
General Amount
$1,857
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $507 |
| AstraZeneca Pharmaceuticals LP | $238 |
| Abbott Laboratories | $189 |
| Amgen Inc. | $168 |
| Lilly USA, LLC | $100 |
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: 2004-03-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040304000625 | I | Physician Assistant | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 529 | 196 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 130 | 87 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 22 | 22 | $0 |
| 81002 | Urinalysis, manual test | 20 | 16 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 11 | 11 | $0 |
Insurance plans in this area (ZIP 62864)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery | IL | |
| P A T H O L O G Y | IL | |
| Sleep Medicine, Pediatric Medicine | MO | |
| P O D I A T R Y | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| General Surgery | MO | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
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