Jill Diane Burkley, PSY D
NPI 1376550988ActiveIndividual· Psychologist· Mason City, IA
Psychologist (PSY D) with North Iowa Mercy Clinics, practicing in Mason City, Iowa. Enrolled in Medicare as practitioner - clinical psychologist. Lists Mercyone North Iowa Medical Center as a hospital affiliation.
Overview
| NPI | 1376550988 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY D |
| Sole proprietor | No |
| NPI issued | Aug 3, 2006 |
| Last updated in NPPES | Jul 15, 2025 |
| Certified by provider | Jul 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 00982 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (IA) |
|---|
Education and affiliations
| Graduation year | 2001 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- North Iowa Mercy ClinicsMason City, IA · 302 clinicians
Hospital affiliation
- Mercyone North Iowa Medical CenterMason City, IA
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