Jennifer Marie Burke, NP – Nurse Practitioner

Key facts

NPI: 1306134788
Entity type: Individual (NPI type 1)
Primary specialty: Nurse Practitioner 363L00000X
License: RN2264154 (MA)
Practice address: 45 Resnik Rd
Plymouth, MA 02360-4844
Phone: (508) 746-0754
Fax: (508) 747-7867
NPI assigned: Jul 19, 2011
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

South Shore Medical Center, Inc. Internal Medicine Physician · Norwell, MA · NPI 1669411856

Medicare reassignment Care Compare group NPD MA

Hospital & facility affiliations 2

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

South Shore Hospital Inc. Home Health Agency · Braintree, MA · NPI 1669558474

Care Compare affiliation Name & address match Home health agency
South Shore Hospital Inc. General Acute Care Hospital · South Weymouth, MA · NPI 1134227606

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2011
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: South Shore Medical Center, Inc. (174 clinicians)

Practice addresses (Care Compare)

143 Longwater Dr
Norwell, MA 02061-1683
Phone (781) 878-5200

Hospital & facility affiliations

South Shore Visiting Nurse Association Home health agency · Rockland, MA · CCN 227082
South Shore Hospital Hospital · South Weymouth, MA · CCN 220100

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MA
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
I20110902000491	MA	Practitioner - Nurse Practitioner	9133399983	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
RN2264154	MA	MD	Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
South Shore Medical Center, Inc.		Current since Dec 1, 2020	Accepting new patients

Locations

5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200

143 Longwater Dr
Norwell, MA 02061
Phone (781) 792-4136

141 Longwater Dr
Ste 201
Norwell, MA 02061
Phone (781) 261-7820

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Nurse Practitioner	363L00000X	RN2264154	MA	Yes

Addresses

Primary practice location

45 Resnik Rd
Plymouth, MA 02360-4844

Mailing address

45 Resnik Rd
Plymouth, MA 02360-4844
Phone (508) 746-0754

Other providers in Plymouth, MA

All providers in Plymouth, MA · Nurse Practitioner in Massachusetts

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2011. 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.

Verify at the official NPI Registry.