NICOLE MARIE BURTON (FNP-BC) – Family Nurse Practitioner, NPI 1104549989

NICOLE MARIE BURTON (FNP-BC) is a healthcare provider. based in Knoxville, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 32409 (TN). The NPI Number for NICOLE MARIE BURTON (FNP-BC) is 1104549989

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE MARIE BURTON (FNP-BC)
NPI
1104549989
Phone
(865) 684-3014
Address
4430 AVERY VILLAGE WAY
Enumeration Date
26 September 2022
Last Update Date
10 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4234581426
Graduation Year
2022 (4 years ago)
PAC ID
6002284700
Group Practice PAC ID
7719131101
Professional Enrollment ID
I20221201000281
Address ID
TN379194019KN6108XPIKE300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

10,656 NURSE PRACTITIONER in TN

Provider Addresses for NICOLE MARIE BURTON (FNP-BC)

  • 4430 AVERY VILLAGE WAY

    KNOXVILLE, TN 379215248

    Phone: (865) 684-3014

    Type: Mailing

  • 6606 CLINTON HWY

    KNOXVILLE, TN 379121016

    Phone: (865) 429-4008

    Type: Location

  • 6108 KINGSTON PIKE

    KNOXVILLE, TN 379194019

    Phone: (865) 345-3910

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $475.

Total Amount is formed as General ($475) + Research ($0) + Ownership ($0) = $475.

Last reported payment date: 2023-12-20 • Largest payer in this snapshot: Boston Scientific Corporation ($130).

Total Amount

$475

General + Research + Ownership

Payments

10

Total payment records

General Amount

$475

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-20

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: 2022-12-01

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
I20221201000281INurse PractitionerTNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes162112$0
96132Evaluation of neuropsychological test, first hour10881$0
96138Administration of psychological or neuropsychological test by technician, first 30 minutes10881$0
96130Evaluation of psychological test, first hour10881$0
G0396Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes10780$0
View full utilization report →

Insurance plans in this area (ZIP 37921)

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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: 7719131101View full group profile
NameSpecialtyState
Nurse PractitionerTN
-TN
Nurse PractitionerTN
Nurse PractitionerTN
-TN
Family PracticeNC
Physician AssistantTN
Family PracticeWI
Physician AssistantMD
Nurse PractitionerGA

Reviews

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Frequently asked questions

Is NICOLE MARIE BURTON (FNP-BC) listed with a National Provider Identifier?
Yes — NICOLE MARIE BURTON (FNP-BC) has NPI 1104549989 on file in the registry.
Active or inactive — what applies to NICOLE MARIE BURTON (FNP-BC)?
You should see NICOLE MARIE BURTON (FNP-BC) as active in CMS-hosted NPPES data.
What area of care is associated with NICOLE MARIE BURTON (FNP-BC)?
NICOLE MARIE BURTON (FNP-BC)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with NICOLE MARIE BURTON (FNP-BC)?
Directory geography for NICOLE MARIE BURTON (FNP-BC) centers on Knoxville, Tennessee.
When was this NPI issued?
Enumeration for NICOLE MARIE BURTON (FNP-BC) is noted as September 26, 2022 where the registry provides it.

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