Marne Anne Burgess, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

10390 Issued in CA

Practice address

10 N San Pedro Rd
Suite 1020
San Rafael, CA 94903-4178

Phone

(415) 473-4306

Fax

(415) 473-4307

NPI assigned

Aug 19, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Marne Anne Sarria Burgess Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of California, San Francisco School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

County of MarinGroup PAC ID 1153225065, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Marin

  • Community/Behavioral Health Agency
  • San Rafael, CA
  • NPI 1912116252
  Medicare reassignment Care Compare group NPD
• County of Marin

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenbrae, CA
  • NPI 1568525699
  NPD
• County of Marin

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Rafael, CA
  • NPI 1326258856
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1033223755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N SAN PEDRO RD",
            "address_2": "SUITE 1020",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034178",
            "telephone_number": "415-473-4306",
            "fax_number": "415-473-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N SAN PEDRO RD",
            "address_2": "SUITE 1020",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034178",
            "telephone_number": "415-473-4306",
            "fax_number": "415-473-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "MARNE",
        "middle_name": "ANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "10390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARNE",
            "last_name": "SARRIA BURGESS",
            "middle_name": "ANNE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Diane Bullard
• Tiawana Bullock III
• Laurie Elizabeth Buntain, MFT
• Sharon Burchik
• Tanya G Burdick, MSPT
• Reuben Burke
• Pamela Burkett, M.F.T.I.
• Jean W Burnett, MFT 6909
• Gregory Burns, SUD COUNSELOR 1
• Jacqueline Leigh Burns

• Nurse Practitioner in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.