{
  "npi": "1972043305",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2024-08-28",
    "credential": "NP",
    "enumeration_date": "2017-03-04",
    "first_name": "LACIE",
    "last_name": "BURGE",
    "last_updated": "2024-08-28",
    "middle_name": "SHAE",
    "sex": "F",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "400 SOUTH OAK STREET",
      "address_2": "RANDOLPH MEDICAL CENTER",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "WINCHESTER",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "765-584-6503",
      "postal_code": "47394",
      "state": "IN",
      "telephone_number": "765-584-6600"
    },
    {
      "address_1": "1100 REID PARKWAY",
      "address_2": "MEDICAL STAFF SERVICES",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "RICHMOND",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "765-584-6503",
      "postal_code": "47374",
      "state": "IN",
      "telephone_number": "765-584-6600"
    }
  ],
  "taxonomies": [
    {
      "code": "363LF0000X",
      "desc": "Nurse Practitioner, Family",
      "license": "71007164A",
      "primary": true,
      "state": "IN",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "NPI": "1972043305",
      "LAST_NAME": "BURGE",
      "FIRST_NAME": "LACIE",
      "PARTB": "Y",
      "DME": "Y",
      "HHA": "Y",
      "PMD": "Y",
      "HOSPICE": "N"
    }
  },
  "medicare_utilization": {
    "total_beneficiaries": "456",
    "total_services": "2607",
    "total_medicare_allowed_amt": "59178.42",
    "top_hcpcs_services": [
      {
        "code": "36415",
        "description": "Insertion of needle into vein for collection of blood sample",
        "services": "96",
        "beneficiaries": "93"
      },
      {
        "code": "51702",
        "description": "Simple insertion of temporary bladder tube",
        "services": "20",
        "beneficiaries": "14"
      },
      {
        "code": "51798",
        "description": "Ultrasound measurement of bladder capacity after voiding",
        "services": "122",
        "beneficiaries": "108"
      },
      {
        "code": "81000",
        "description": "Manual urinalysis test with examination using microscope, non-automated",
        "services": "11",
        "beneficiaries": "11"
      },
      {
        "code": "81002",
        "description": "Urinalysis, manual test",
        "services": "372",
        "beneficiaries": "317"
      },
      {
        "code": "99204",
        "description": "New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",
        "services": "31",
        "beneficiaries": "31"
      },
      {
        "code": "99212",
        "description": "Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",
        "services": "63",
        "beneficiaries": "63"
      },
      {
        "code": "99213",
        "description": "Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more",
        "services": "109",
        "beneficiaries": "101"
      }
    ]
  },
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "50",
        "medicare_type": "Nurse Practitioner"
      }
    ]
  }
}