NPIMap

Individual provider Active NPI

Jennifer Lynn Burnett, CRNP

  • Nurse Practitioner
  • Wyomissing, PA
National Provider Identifier
1053959569
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP021276 Issued in PA
Practice address
1220 Broadcasting Rd Ste 100
Wyomissing, PA 19610-3221
Phone
(484) 628-5673
Fax
(484) 628-3139
NPI assigned
Dec 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP021276 PA Primary

Addresses

Primary practice location

1220 Broadcasting Rd Ste 100
Wyomissing, PA 19610-3221

Mailing address

PO Box 13579
Reading, PA 19612-3579
Phone (484) 628-0796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200519001152 PA Practitioner - Nurse Practitioner 5092146449 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reading Hospital 179 clinicians
Phoenixville Clinic Company LLC 135 clinicians

Practice addresses (Care Compare)

1220 Broadcasting Rd
Wyomissing, PA 19610-3221
Phone (484) 628-5673

420 W Linfield Trappe Rd
Suite 3100
Limerick, PA 19468-4277
Phone (610) 495-3892

Hospital & facility affiliations

  • Reading Hospital Hospital, West Reading, PA, CCN 390044

Merit-based Incentive Payment System (MIPS)

Final score
85.14 of 100Reported as group
Quality
74.13
Promoting interoperability
98
Improvement activities
40
Cost
78.01

Merit-based Incentive Payment System (MIPS)

Final score
88.1 of 100Reported as group
Quality
77.19
Promoting interoperability
98
Improvement activities
40
Cost
79.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP021276PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reading Hospital Current Accepting new patients
Reading Hospital CurrentSince Jan 4, 2023 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Nov 4, 2023 Accepting new patients
Tower Health Medical Group CurrentSince Mar 15, 2020 Accepting new patients
Reading Hospital CurrentSince Jan 4, 2023 Accepting new patients
Phoenixville Clinic Company LLC Nurse Practitioner CurrentSince Nov 4, 2023 Accepting new patients
Tower Health Medical Group CurrentSince Mar 15, 2020 Accepting new patients
Reading Hospital CurrentSince Jan 4, 2023 Accepting new patients
Reading Professional Services Past Accepting new patients

Locations

420 W Linfield Trappe Rd
Ste 3100
Limerick, PA 19468
Phone (484) 750-3906

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

301 S 7th Ave
Ste 200
West Reading, PA 19611
Phone (484) 626-8198

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

1220 Broadcasting Rd
Ste 100
Wyomissing, PA 19610
Phone (484) 628-5673

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1053959569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579",
            "telephone_number": "484-628-0796",
            "fax_number": "484-334-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 BROADCASTING RD STE 100",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103221",
            "telephone_number": "484-628-5673",
            "fax_number": "484-628-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP021276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.