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Active NPI 1073208757 Individual Practitioner Female Practitioner

Stacey Marie Burdett , FNP-BC

Nurse Practitioner • Ronan, MT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stacey Burdett, FNP-BC is a certified Nurse Practitioner practicing in Ronan, MT. With approximately 4 years of clinical experience since completing medical education in 2022, Stacey Burdett delivers high-quality medical care to the local community at 126 6TH AVE SW.

Stacey Burdett is affiliated with St Lukes Community Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include hemoglobin a1c level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

126 6th Ave Sw

Ronan, MT 598642600

Telephone 4066763600
Fax 4066763738
Associated Practice Facility / Clinic
🏢 St. Lukes Community Hospital Facility NPI 1093876344

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Ronan, MT

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -1.3 yrs vs City Avg
City Avg: 5.3 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Ronan, MT (290 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
13.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Burdett (4 Years) 4 Yrs
Ronan Specialty Average (5.3 Years) 5.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
83036 Hemoglobin A1C level
13 13 $11.00 $9.52

Medical Specialties & State Licenses

CMS Verified: 2023-11-27
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MT 214369

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License ID 75899

Definition to come...

Hospital & Practice Group Affiliations

St Lukes Community Hospital

126 6th Ave Sw, Ronan, MT 598642600

Phone: 4066763600

St Lukes Community Hospital

104 Rufus Ln, Polson, MT 598608903

Phone: 4068832555

Secondary Practice Locations

330 6 Tracts Way

St Ignatius, MT 598657784

Phone: 4067452781

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Dr. Megan Vigil , MD

Family Medicine

NPI 1023450798

Doctor of Medicine (M.D.)

Dr. Sharla Hart , MD

Family Medicine

NPI 1043326739

Doctor of Medicine (M.D.)

NPI 1043373111

Doctor of Medicine (M.D.)

Krystal Diel , LCSW

Social Worker - Clinical

NPI 1053907287

Licensed Clinical Social Worker

NPI 1174685374

Doctor of Medicine (M.D.)

Caitlin Hickok , RN, FNP-C

Nurse Practitioner

NPI 1174988828

Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location November 27, 2023

Registered at 126 6TH AVE SW, RONAN, MT 598642600 (Tel: 4066763600)

👤
Provider Name / Credentials Updated April 21, 2023

Recorded as STACEY BURDETT, FNP-BC

NPI Profile Active April 07, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location April 07, 2023

Registered at 740 MCKINLEY AVE, KELLOGG, ID 838372693 (Tel: 2087831267)

📍
Updated Business Mailing Address April 07, 2023

Registered at 42543 PARK CIRCLE DR, POLSON, MT 598607533 (Tel: 4063604263)

👤
Provider Name / Credentials Updated April 07, 2023

Recorded as STACEY BURDETT, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2023

Nurse Practitioner (License #75899 in ID)

🟢
Initial NPI Registration & Enumeration April 07, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073208757
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2023
Last Update: November 27, 2023
Sole Proprietor: No

Mailing Address

42543 Park Circle Dr

Polson, MT 598607533

Phone: 4063604263

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.