Active NPI
Jennifer Lee Burciaga, PA-C
- Surgical Physician Assistant
- Sugar Land, TX
National Provider Identifier
1396117396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA10120
- Practice address
- 1 Sugar Creek Center Blvd Ste 618
Sugar Land, TX 77478-3540 - Phone
- (832) 655-4141
- Fax
- (713) 457-5188
- NPI assigned
- Oct 29, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA10120 | TX | Primary |
Addresses
Primary practice location
1 Sugar Creek Center Blvd Ste 618
Sugar Land, TX 77478-3540
Mailing address
1 Sugar Creek Center Blvd Ste 618
Sugar Land, TX 77478-3540
Phone (832) 655-4141
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8LI003 | Other | TX | BCBS - BLUE STAR SURGICAL ASSISTANTS LLC |
| PA10120 | Other | TX | TEXAS MEDICAL BOARD |
| 8278NT | Other | TX | BCBS - USA |
| 8279NT | Other | TX | BCBS - USP |
| 8PX985 | Other | TX | BCBS - US MSO |
| 8215NV | Other | TX | BCBS - XCITE SURGICAL LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Sugar Creek Ctr Blvd
Suite 618
Sugar Land, TX 77478-3540
Phone (832) 655-4141
Hospital & facility affiliations
- Houston Methodist Sugarland Hospital
- Memorial Hermann Sugar Land Hospital
- St Luke'S Sugar Land Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA10120 | TX | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sienna Practitioners PLLC | Surgical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Surgical Technologist
- Sugar Land, TX
- NPI 1215220116
-
- Surgical Physician Assistant
- Missouri City, TX
- NPI 1750741047
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sugar Land, TX
- NPI 1295788735
-
- General Acute Care Hospital
- Sugar Land, TX
- NPI 1497871628
-
- General Acute Care Hospital
- Sugar Land, TX
- NPI 1659559573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1396117396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SUGAR CREEK CENTER BLVD STE 618",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783540",
"telephone_number": "832-655-4141",
"fax_number": "713-457-5188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SUGAR CREEK CENTER BLVD STE 618",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783540",
"telephone_number": "832-655-4141",
"fax_number": "713-457-5188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCIAGA",
"first_name": "JENNIFER",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-29",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "PA10120",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - BLUE STAR SURGICAL ASSISTANTS LLC",
"identifier": "8LI003",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL BOARD",
"identifier": "PA10120",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - USA",
"identifier": "8278NT",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - USP",
"identifier": "8279NT",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - US MSO",
"identifier": "8PX985",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - XCITE SURGICAL LLC",
"identifier": "8215NV",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.