Madison Brooke Burgess

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

40056 Issued in TN

Practice address

3234 Miller Ave
Crossville, TN 38555-6116

Phone

(931) 707-8700

NPI assigned

Jun 9, 2025

Last updated

Oct 10, 2025By the provider in NPPES

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

• Madison Brooke Burgess Other name

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Plateau Pediatrics, PLC

  • Rural Health Clinic/Center
  • Crossville, TN
  • NPI 1043285729
  NPD (past)

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1275428633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3234 MILLER AVE",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385556116",
            "telephone_number": "931-707-8700",
            "fax_number": "931-456-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3234 MILLER AVE",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385556116",
            "telephone_number": "931-707-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9512 Cherokee Trl",
            "address_purpose": "LOCATION",
            "city": "Crossville",
            "state": "TN",
            "postal_code": "385723577",
            "country_code": "US",
            "telephone_number": "931-287-3731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "MADISON",
        "middle_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "40056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "BURGESS",
            "middle_name": "BROOKE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shawn James Brunelle, PA-C
• Ronald Brunk, MSN, APRN, FNP-C
• Selinda L Bryant, REGISTERED NURSE
• Buckeye Home Health Center, Inc.
• Buckeye Home Health Center, Inc.
• Rodney Jerome Burney, PHARM.D
• Sue W Burris, PT
• Debra Butner, RN
• Richard Matthew Buurman, MD
• Pamela Mathews Cain, D.D.S.

• Pediatric Nurse Practitioner in Crossville, TN
• Providers in Crossville, TN by specialty
• Pediatric Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.