Active NPI
Jeffrey Scott Burdette, DO
- Psychiatry Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- OS20558
- Practice address
- 11215 Metro Pkwy Ste 100
Fort Myers, FL 33966-1206 - Phone
- (239) 208-2206
- NPI assigned
- May 27, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2024042837 | MO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | OS20558 | FL | Primary |
Addresses
Primary practice location
11215 Metro Pkwy Ste 100
Fort Myers, FL 33966-1206
Mailing address
707 E Main St
Middletown, NY 10940-2650
Phone (845) 333-6333
Other practice location 1
707 E Main St
Middletown, NY 10940-2650
Phone (845) 333-6333
Other practice location 2
211 NE 54th St Ste 201
Kansas City, MO 64118-4330
Phone (816) 453-6777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, MO, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Philadelphia College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
211 NE 54TH St
Suite 201
Kansas City, MO 64118-4330
Phone (816) 453-6777
5301 Hill Rd NW
Acworth, GA 30101-6952
Phone (239) 208-2212
Hospital & facility affiliations
- Marion Communtiy Hospital
- HCA Florida Lake City Hospital
- HCA Florida Gulf Coast Hospital
- Adventhealth Heart of Florida
- HCA Florida Highlands Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS20558 | FL | MD | Psychiatry Physician |
| 2024042837 | MO | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Shepherd Health Care System | Current | Accepting new patients | |
| Meritas Health | Psychiatry | Current | Accepting new patients |
| TS Telepsychiatry PLLC | Psychiatry | Current | Accepting new patients |
| Meritas Health Corporation | Current | Accepting new patients | |
| Meritas Health Corporation | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206
9110 College Pointe Ct
Fort Myers, FL 33919
Phone (239) 208-2206
11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206
211 NE 54th St
Ste 2
Kansas City, MO 64118
Phone (816) 453-6777
9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072
211 NE 54th St
Ste 201
Kansas City, MO 64118
Phone (816) 453-6777
610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400
Networks
- Freedom Health HMO Network
Interoperability endpoints
- jburdette1595549@direct.lhs.org
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1801875091
-
- Critical Access Hospital
- Hermiston, OR
- NPI 1295789667
-
- Psychiatry Physician
- Kansas City, MO
- NPI 1639569676
-
- Neurology Physician
- Kansas City, MO
- NPI 1669323291
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Davenport, FL
- NPI 1801457510
-
- General Acute Care Hospital
- Panama City, FL
- NPI 1699721589
-
- General Acute Care Hospital
- Ocala, FL
- NPI 1841237930
-
- General Acute Care Hospital
- Lake City, FL
- NPI 1992751879
-
- General Acute Care Hospital
- Sebring, FL
- NPI 1598282246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735776000000",
"number": "1992362826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 E MAIN ST",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109402650",
"telephone_number": "845-333-6333",
"fax_number": "845-333-7342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11215 METRO PKWY STE 100",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339661206",
"telephone_number": "239-208-2206"
}
],
"practiceLocations": [
{
"address_1": "707 E Main St",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "NY",
"postal_code": "109402650",
"country_code": "US",
"telephone_number": "845-333-6333",
"fax_number": "845-333-7342",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "211 NE 54th St Ste 201",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641184330",
"country_code": "US",
"telephone_number": "816-453-6777",
"fax_number": "816-454-3601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURDETTE",
"first_name": "JEFFREY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-27",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2024042837",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "OS20558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.