ELIZABETH MICHELLE BURDEN – Family Nurse Practitioner, NPI 1063208874

ELIZABETH MICHELLE BURDEN is a healthcare provider. based in Leavenworth, Kansas. specializing in NURSE PRACTITIONER. They hold a License No. 53-84268-022 (KS). The NPI Number for ELIZABETH MICHELLE BURDEN is 1063208874

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH MICHELLE BURDEN
NPI
1063208874
Phone
(913) 548-5848
Address
18725 HIGH PRAIRIE RD
Enumeration Date
17 April 2025
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9136518860
Graduation Year
2024 (2 years ago)
PAC ID
0244746568
Group Practice PAC ID
6002131091
Professional Enrollment ID
I20250723000474
Address ID
KS660481422LE818XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

Provider Addresses for ELIZABETH MICHELLE BURDEN

  • 18725 HIGH PRAIRIE RD

    LEAVENWORTH, KS 660487571

    Phone: (913) 548-5848

    Type: Mailing

  • 818 N 7TH ST

    LEAVENWORTH, KS 660481422

    Phone: (913) 651-8860

    Type: Location

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: 2025-07-23

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
I20250723000474INurse PractitionerKSTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66048)

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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: 6002131091View full group profile
NameSpecialtyState
Family PracticeKS
Mental Health CounselorCT
Nurse PractitionerKS
-KS
-KS
Nurse PractitionerKS
Nurse PractitionerMO

Reviews

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Frequently asked questions

Is ELIZABETH MICHELLE BURDEN listed with a National Provider Identifier?
Yes — ELIZABETH MICHELLE BURDEN has NPI 1063208874 on file in the registry.
Active or inactive — what applies to ELIZABETH MICHELLE BURDEN?
You should see ELIZABETH MICHELLE BURDEN as active in CMS-hosted NPPES data.
What area of care is associated with ELIZABETH MICHELLE BURDEN?
ELIZABETH MICHELLE BURDEN's record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ELIZABETH MICHELLE BURDEN?
Travel planning: use Leavenworth, Kansas as the reference point for ELIZABETH MICHELLE BURDEN, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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