Individual provider Active NPI

Jeffrey Scott Burdette, DO

  • Psychiatry Physician
  • Fort Myers, FL
National Provider Identifier
1992362826
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS20558 Issued in FL
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

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, OR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240212003533 GA Practitioner - Psychiatry 6305289885 Reassigns benefits to 1 organization
I20250103002995 MO Practitioner - Psychiatry 6305289885 Reassigns benefits to 1 organization
I20251024002348 OR Practitioner - Psychiatry 6305289885 Reassigns benefits to 2 organizations

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
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians
TS Telepsychiatry PLLCGroup PAC ID 0941698070, 21 clinicians

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 Hospital, Ocala, FL, CCN 100212
  • HCA Florida Lake City Hospital Hospital, Lake City, FL, CCN 100156
  • HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242
  • Adventhealth Heart of Florida Hospital, Davenport, FL, CCN 100137
  • HCA Florida Highlands Hospital Hospital, Sebring, FL, CCN 100049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS20558FLMDPsychiatry Physician
2024042837MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Shepherd Health Care System CurrentSince Sep 1, 2025 Accepting new patients
Meritas Health Psychiatry CurrentSince Nov 3, 2024 Accepting new patients
TS Telepsychiatry PLLC Psychiatry CurrentSince Jan 3, 2024 Accepting new patients
Meritas Health Corporation Current Accepting new patients
Meritas Health Corporation CurrentSince Nov 3, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.