Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicholas Antonio Burke

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174144364

Nicholas Antonio Burke is an Emergency Medicine in Mount Vernon, Illinois. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2020, 6 years ago. Practices with Midwest Emergency Good Samaritan, Inc, a 29-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
IL
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone: (618) 242-4600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036165520 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174144364
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 29, 2020
Last updated in NPPESNovember 3, 2023
Certification dateNovember 3, 2023
Mailing address58654 Valley View Dr, Washington, MI 48094-0901

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2020 (6 years in practice)
Group practice Midwest Emergency Good Samaritan, Inc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Mount Vernon