ANDRIA BURNETT – Registered Nurse, NPI 1447973532

ANDRIA BURNETT is a healthcare provider. based in Broken arrow, Oklahoma. specializing in NURSE PRACTITIONER. They hold a License No. 215346 (OK). The NPI Number for ANDRIA BURNETT is 1447973532

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
ANDRIA BURNETT
NPI
1447973532
Phone
(561) 420-4453
Address
20291 E 33RD ST S
Enumeration Date
22 September 2022
Last Update Date
26 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9187946008
Graduation Year
2022 (4 years ago)
PAC ID
4587100581
Group Practice PAC ID
1153603832
Professional Enrollment ID
I20240726000477
Address ID
OK740121197BR1751XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for ANDRIA BURNETT

  • 20291 E 33RD ST S

    BROKEN ARROW, OK 740145157

    Phone: (561) 420-4453

    Type: Location

  • 1751 N ASPEN AVE

    BROKEN ARROW, OK 740121197

    Phone: (561) 420-4453

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $97.

Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.

Last reported payment date: 2024-10-07 • Largest payer in this snapshot: Averitas Pharma Inc. ($31).

Total Amount

$97

General + Research + Ownership

Payments

4

Total payment records

General Amount

$97

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-07

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2024-07-26

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
I20240726000477INurse PractitionerOKTBD

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 74014)

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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: 1153603832View full group profile
NameSpecialtyState
Nurse PractitionerOK
Nurse PractitionerOK
-OK
Nurse PractitionerOK
Family PracticeOK
Pain Management, AnesthesiologyKS
Physical Medicine And RehabilitationOK
-OK
Nurse PractitionerOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

How do payers reference ANDRIA BURNETT?
For ANDRIA BURNETT, use NPI 1447973532 as the unique 10-digit identifier.
Would ANDRIA BURNETT appear as active to a payer?
You can treat ANDRIA BURNETT as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is ANDRIA BURNETT?
ANDRIA BURNETT is associated with Registered Nurse in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with ANDRIA BURNETT?
Directory geography for ANDRIA BURNETT centers on Broken Arrow, Oklahoma.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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