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

Nicole M Burdge, NP

Individual provider Nurse Practitioner · NPI 1629684865

Nicole M Burdge, NP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2020, 6 years ago. Practices with Mercy Clinic Heart and Vascular LLC, a 111-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
6
Licensed in
MO
In the registry since
2020
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

10004 Kennerly Rd Ste 115A
Saint Louis, MO 63128-5106
Phone: (314) 525-1538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2020027480 (MO)
Nurse Practitioner Taxonomy 363L00000X · Licence 2020027480 (MO)

Record details

NPI number1629684865
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 22, 2020
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mercy Clinic Heart And Vascular Llc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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