ANISA RANAY BURDICK (FNP-C) – Family Nurse Practitioner, NPI 1235610395

ANISA RANAY BURDICK (FNP-C) is a healthcare provider. based in Clinton, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 2018017690 (MO). The NPI Number for ANISA RANAY BURDICK (FNP-C) is 1235610395

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ANISA RANAY BURDICK (FNP-C)
NPI
1235610395
Phone
(660) 885-5511
Address
1600 N 2ND ST
Enumeration Date
27 August 2018
Last Update Date
27 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6608318414
Graduation Year
2017 (9 years ago)
PAC ID
9638420722
Group Practice PAC ID
2567351570
Professional Enrollment ID
I20181001000145
Address ID
MO653403702MA2305X65XX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

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Provider Addresses for ANISA RANAY BURDICK (FNP-C)

  • Golden Valley Memorial Hospital, 1600, North 2nd Street, Clinton, Henry County, Missouri, 64735, United States

    CLINTON, MO 647351297

    Phone: (660) 885-5511

    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: 2018-10-01

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
I20181001000145INurse PractitionerMOTBD

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
99283Emergency department visit with low level of medical decision making5956$0
99284Emergency department visit with moderate level of medical decision making2525$0
View full utilization report →

Insurance plans in this area (ZIP 64735)

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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: 2567351570View full group profile
NameSpecialtyState
Emergency MedicineMO
Certified Nurse Midwife (Cnm)MO
Orthopedic SurgeryMO
Family PracticeOH
Family PracticeMO
Family PracticeMO
Gastroenterology, Internal MedicineMO
Family PracticeVA
O B S T E T R I C S/ G Y N E C O L O G YMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

Where can patients find ANISA RANAY BURDICK (FNP-C)'s NPI?
You can confirm ANISA RANAY BURDICK (FNP-C) with NPI 1235610395; it appears in the national provider directory.
Is ANISA RANAY BURDICK (FNP-C)'s NPI currently valid?
The extract we use shows ANISA RANAY BURDICK (FNP-C) as active.
Can you summarize ANISA RANAY BURDICK (FNP-C)'s specialty in plain language?
Clinically, the directory lists ANISA RANAY BURDICK (FNP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is ANISA RANAY BURDICK (FNP-C)'s primary listing?
We display Clinton, Missouri because that is what the record indicates for ANISA RANAY BURDICK (FNP-C).
What if Clinton, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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