Jennifer Burnham
Individual provider Active NPI Nurse Practitioner · Marshall, MI
NPI 1184028656 · NPPES record last updated Dec 16, 2019
Key facts
- NPI
- 1184028656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 4704241030 (MI)
- Practice address
- 215 E Mansion St Ste 1E
Marshall, MI 49068-1167 - Phone
- (269) 781-3938
- NPI assigned
- Oct 13, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ella E M Brown Charitable Circle
Practice addresses (Care Compare)
200 N Madison St
Marshall, MI 49068-1143
Phone (269) 781-4271
Hospital & facility affiliations
- Elara Caring
- Oaklawn Hospital
- Bronson Battle Creek Hospital
- Bronson Methodist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.06 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.56
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141031000655 | MI | Practitioner - Nurse Practitioner | 2567683790 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704241030 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ella E M Brown Charitable Circle | Current |
Accepting new patients | |
| Ella E M Brown Charitable Circle | Nurse Practitioner | Current |
Accepting new patients |
| Ella E M Brown Charitable Circle | Past | Accepting new patients |
Locations
200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921
215 E Mansion St
Ste 1E
Marshall, MI 49068
Phone (269) 781-3938
Interoperability endpoints
- jennifer.burnham.1@9698.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704241030 | MI | Yes |
Addresses
Primary practice location
215 E Mansion St Ste 1E
Marshall, MI 49068-1167
Mailing address
215 E Mansion St Ste 1E
Marshall, MI 49068-1167
Phone (269) 781-3938
Other providers in Marshall, MI
- Brain Treatment Center- Marshall PLLC
- Theresa Marie Brandt
- Kaitlyn Nicole Britten
- Bronson Battle Creek Hospital
- Carmen Wittkopp Burke
- Catherine A Burtrum
- Rene Byrd
- David Michael Byrens
- Calhoun Intermediate School District
- Tescha M Carr
All providers in Marshall, MI · Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.