Akisha Rochelle Burge
Nurse Practitioner, Gerontology in Cleveland, OH. Individual provider (NPI-1).
NPI number1164062790
StatusActive
Last updated in NPPESJan 11, 2020
Details
- NPI
- 1164062790
- Entity type
- Individual (NPI-1)
- Name
- Akisha Rochelle Burge
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 11, 2020
- Certification date
- Jan 11, 2020
- Last updated
- Jan 11, 2020
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 2018068340 | OH | Yes |
Practice location
11100 Euclid AveCleveland, OH 44106-1716
Phone 216-286-9209 · Fax 216-844-5399
Mailing address
1088 Dorsh RdSouth Euclid, OH 44121-3832
Phone 216-376-4988
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.
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All 61 Gerontology Nurse Practitioner providers in Cleveland · All 34,956 providers in Cleveland
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