PAUL E. BURRIS (FNP-C) – Family Nurse Practitioner, NPI 1699100255

PAUL E. BURRIS (FNP-C) is a healthcare provider. based in Mountain grove, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. A003962 (AR). The NPI Number for PAUL E. BURRIS (FNP-C) is 1699100255

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
PAUL E. BURRIS (FNP-C)
NPI
1699100255
Phone
(417) 926-6563
Address
500 E 19TH ST
Enumeration Date
13 September 2013
Last Update Date
15 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5737610304
Graduation Year
2013 (13 years ago)
PAC ID
4486881943
Group Practice PAC ID
8921917352
Professional Enrollment ID
I20140721001904
Address ID
MO651095869JE2511XDXXX501

Contacts

Secure Messaging
pburris194464@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

7,017 NURSE PRACTITIONER in MO

Provider Addresses for PAUL E. BURRIS (FNP-C)

  • 500 E 19TH ST

    MOUNTAIN GROVE, MO 657111114

    Phone: (417) 926-6563

    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: 2014-07-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-07-31 (1042 days ago).

Enrollment records

1

Earliest due date

2023-07-31

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
I20140721001904INurse PractitionerMO2023-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
99214Established patient office or other outpatient visit, 30-39 minutes138118$0
99203New patient office or other outpatient visit, 30-44 minutes3939$0
99213Established patient office or other outpatient visit, 20-29 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 65711)

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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: 8921917352View full group profile
NameSpecialtyState
-MO
Nurse PractitionerMO
Nurse PractitionerMO
Physician AssistantMO
-MO
Physician AssistantMO
Physician AssistantMO
Nurse PractitionerMO
P S Y C H I A T R YKS
Cardiovascular Disease (Cardiology), Internal MedicineAR

Reviews

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Frequently asked questions

What is the registry number for PAUL E. BURRIS (FNP-C)?
The registry entry for PAUL E. BURRIS (FNP-C) shows NPI 1699100255.
Is PAUL E. BURRIS (FNP-C) currently accepting referrals based on NPI status?
Registry metadata lists PAUL E. BURRIS (FNP-C) as active.
Which specialty label fits PAUL E. BURRIS (FNP-C)?
NPPES ties PAUL E. BURRIS (FNP-C) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to PAUL E. BURRIS (FNP-C)?
The directory associates PAUL E. BURRIS (FNP-C) with Mountain Grove, Missouri. Check all listed addresses for suites or satellite offices.
Why is information missing for PAUL E. BURRIS (FNP-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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