Individual provider Active NPI

Jill S Burgen, APRN

  • Family Nurse Practitioner
  • Lawrence, KS
National Provider Identifier
1497445100
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-79550-042 Issued in KS
Practice address
1312 W 6TH St
Lawrence, KS 66044-2219
Phone
(785) 841-7297
NPI assigned
May 8, 2023
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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 53-79550-042 KS Primary

Addresses

Primary practice location

1312 W 6TH St
Lawrence, KS 66044-2219

Mailing address

1312 W 6TH St
Lawrence, KS 66044-2219
Phone (785) 841-7297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20230622000529 KS Practitioner - Nurse Practitioner 8921466020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Medical Clinic IncGroup PAC ID 2769477645, 22 clinicians

Practice addresses (Care Compare)

1312 W 6TH St
Lawrence, KS 66044-2219
Phone (785) 841-7297

Hospital & facility affiliations

  • LMH Hospital, Lawrence, KS, CCN 170137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-79550-042KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Medical Clinic, Inc CurrentSince Sep 1, 2023 Accepting new patients
Heartland Medical Clinic, Inc CurrentSince Sep 1, 2023 Accepting new patients
Signify Health Medical Associates of Kansas LLC CurrentSince Jun 1, 2023 Accepting new patients
Heartland Medical Clinic, Inc. Past Accepting new patients

Locations

1312 W 6th St
Lawrence, KS 66044
Phone (785) 841-7297

1803 W 6th St
Lawrence, KS 66044
Phone (785) 841-7297

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1497445100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 W 6TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442219",
            "telephone_number": "785-841-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 W 6TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442219",
            "telephone_number": "785-841-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGEN",
        "first_name": "JILL",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-79550-042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.