LACIE SHAE BURGE (NP) – Family Nurse Practitioner, NPI 1972043305
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,191 NURSE PRACTITIONER in IN
Provider Addresses for LACIE SHAE BURGE (NP)
1100 REID PARKWAY
MEDICAL STAFF SERVICES
RICHMOND, IN 47374
Phone: (765) 584-6600
Fax: (765) 584-6503
Type: Mailing
400 SOUTH OAK STREET
RANDOLPH MEDICAL CENTER
WINCHESTER, IN 47394
Phone: (765) 584-6600
Fax: (765) 584-6503
Type: Location
9180 W 500 N
Farmland, IN 473409298
Phone: (765) 509-0408
Type: Location
2901 W Jackson St
Muncie, IN 473044307
Phone: (765) 747-4332
Fax: (765) 448-7689
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 136 Open Payments records for all available years, with a total value of $4,666.
Total Amount is formed as General ($4,666) + Research ($0) + Ownership ($0) = $4,666.
Last reported payment date: 2024-09-20 • Largest payer in this snapshot: Teleflex LLC ($1,626).
Total Amount
$4,666
General + Research + Ownership
Payments
136
Total payment records
General Amount
$4,666
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teleflex LLC | $1,626 |
| Astellas Pharma US Inc | $436 |
| Axonics, Inc. | $341 |
| Sumitomo Pharma America, Inc. | $273 |
| Janssen Biotech, Inc. | $255 |
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: 2017-06-22
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 |
|---|---|---|---|---|
| I20170622002022 | I | Nurse Practitioner | IN | 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 |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 64 | 36 | $0 |
| 81002 | Urinalysis, manual test | 37 | 33 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 21 | 17 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 14 | 14 | $0 |
Insurance plans in this area (ZIP 47374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nephrology, Internal Medicine | IN | |
| General Surgery | MI | |
| - | OH | |
| Family Practice | IN | |
| H E M A T O L O G Y/ O N C O L O G Y | NC | |
| Infectious Disease, Internal Medicine | NJ | |
| Cardiovascular Disease (Cardiology), Internal Medicine | IN | |
| Clinical Social Worker | IN | |
| - | IN |
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