NPIMap

Individual provider Active NPI

Jill Burns

  • Internal Medicine Physician
  • Wellsboro, PA
National Provider Identifier
1992790711
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD073885L Issued in PA
Practice address
103 West Ave
Suite 203
Wellsboro, PA 16901-1311
Phone
(570) 724-3744
NPI assigned
Sep 19, 2005
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD073885L PA Primary

Addresses

Primary practice location

103 West Ave
Suite 203
Wellsboro, PA 16901-1311

Mailing address

32-36 Central Ave
Suite 203
Wellsboro, PA 16901-1840

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jburns50174@upmc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110830000717 PA Practitioner - Internal Medicine 4587615299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
West Virginia University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Susquehanna Physician ServicesGroup PAC ID 2264336460, 611 clinicians

Practice addresses (Care Compare)

1100 Grampian Blvd
Williamsport, PA 17701-1907
Phone (570) 320-7691

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.06 of 100Reported as group
Quality
62.07
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Merit-based Incentive Payment System (MIPS)

Final score
79.37 of 100Reported as group
Quality
86.43
Promoting interoperability
100
Improvement activities
40
Cost
44.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD073885LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna Physician Services CurrentSince Jun 19, 2015 Accepting new patients
Susquehanna Physician Services CurrentSince Oct 19, 2024 Accepting new patients
Catskill Regional Medical Center Internal Medicine Past Accepting new patients
Upmc Wellsboro Past Accepting new patients

Locations

103 West Ave
Wellsboro, PA 16901
Phone (570) 724-1010

103 West Ave
Ste 203
Wellsboro, PA 16901
Phone (570) 724-3744

15 Meade St
Ste U4
Wellsboro, PA 16901
Phone (570) 723-6380

32-36 Central Ave
Wellsboro, PA 16901
Phone (570) 723-0100

32-36 Central Ave
Ste 203
Wellsboro, PA 16901
Phone (570) 723-0104

1100 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8005

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

Interoperability endpoints

  • Direct secure messaging: jburns50174@upmc.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Williamsport Regional Medical CenterWilliamsport, PA, CCN 390045 Hospital Corporate Director Jan 1, 2023
Williamsport Regional Medical CenterWilliamsport, PA, CCN 39T045 Hospital Corporate Director Jan 1, 2023
Wellsboro Laurel Health CenterWellsboro, PA, CCN 391848 Federally qualified health center Corporate Director (100%) Jul 1, 2015

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 3

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1992790711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32-36 CENTRAL AVE",
            "address_2": "SUITE 203",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 WEST AVE",
            "address_2": "SUITE 203",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011311",
            "telephone_number": "570-724-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "JILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD073885L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jburns50174@upmc.direct-ci.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wellsboro, PA

Sources for this page

Verify at the official NPI Registry.