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Sidne Burke, FNP-C

Nurse Practitioner, Family in Kennett, MO. Individual provider (NPI-1).

NPI number1104762129
StatusActive
Last updated in NPPESApr 24, 2026

Details

NPI
1104762129
Entity type
Individual (NPI-1)
Name
Sidne Burke
Credential
FNP-C
Sex
Female
Sole proprietor
No
Enumeration date
Apr 24, 2026
Certification date
Apr 24, 2026
Last updated
Apr 24, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family2026016933MOYes

Practice location

1124 Independence Ave
Kennett, MO 63857-1314

Phone 573-888-5892

Mailing address

1417 Gunner Reed Rd
Kennett, MO 63857-8391

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Nurse Practitioner providers in Kennett, MO

All 17 Family Nurse Practitioner providers in Kennett · All 955 providers in Kennett

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