Individual provider Active NPI

Jessica M Serrano Burns, FNP-BC

  • Family Nurse Practitioner
  • Pickerington, OH
National Provider Identifier
1497435531
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023058625 Issued in OH
Practice address
417 Hill Rd N
Pickerington, OH 43147-1310
Phone
(614) 833-5520
NPI assigned
Jul 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2023058625 OH Primary

Addresses

Primary practice location

417 Hill Rd N
Pickerington, OH 43147-1310

Mailing address

4810 Crazy Horse LN
Westerville, OH 43081-4418
Phone (740) 739-3105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240415002893 OH Practitioner - Nurse Practitioner 8123467875 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023058625OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Urgent Care, LLC. CurrentSince Mar 1, 2024 Accepting new patients
Superior Urgent Care, LLC. CurrentSince Mar 1, 2024 Accepting new patients

Locations

3620 Gender Rd
Canal Wnchstr, OH 43110
Phone (614) 202-0310

1600 Cross Creeks Blvd
Pickerington, OH 43147
Phone (614) 626-0157

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25285/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1497435531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 CRAZY HORSE LN",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430814418",
            "telephone_number": "740-739-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 HILL RD N",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431471310",
            "telephone_number": "614-833-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO BURNS",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "2023058625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

Verify at the official NPI Registry.