Jill S Burgen, APRN
Individual provider Active NPI Family Nurse Practitioner · Lawrence, KS
NPI 1497445100 · NPPES record last updated Apr 23, 2025
Key facts
- NPI
- 1497445100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 53-79550-042 (KS)
- Practice address
- 1312 W 6TH St
Lawrence, KS 66044-2219 - Phone
- (785) 841-7297
- NPI assigned
- May 8, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Heartland Medical Clinic Inc
Practice addresses (Care Compare)
1312 W 6TH St
Lawrence, KS 66044-2219
Phone (785) 841-7297
Hospital & facility affiliations
- LMH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- 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 |
|---|---|---|---|---|
| I20230622000529 | KS | Practitioner - Nurse Practitioner | 8921466020 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-79550-042 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates of Kansas LLC | Current |
Accepting new patients | |
| Heartland Medical Clinic, Inc | Current |
Accepting new patients | |
| Heartland Medical Clinic, Inc | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 53-79550-042 | KS | Yes |
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
Other providers in Lawrence, KS
- Traci Ann Buelt
- Paige Buffington
- Janelle Bugg
- David Willett Bullock
- Betty Louise Bunce
- Brittany Burgess
- Jeffrey A Burgess
- Brittany Burkett
- Savannah Burks
- Dieadra Burmingham
All providers in Lawrence, KS · Family Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2025. 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.