SARA BURWELL
NPI 1063840148
Nurse Practitioner - Family in Jackson, MS
About Sara Burwell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SARA BURWELL (NPI 1063840148) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R878011) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sara Burwell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Sara Burwell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Ripley, MS 38663
- Reassigned Medicare billing, Mississippi enrollment
- 463 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MS 39216
JACKSON, MS 39216
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sara Burwell's NPI number?
The NPI number for Sara Burwell is 1063840148. It was assigned to this individual provider in the NPPES registry on October 28, 2013.
Where is Sara Burwell located?
Sara Burwell practices at 764 Lakeland Dr, Jackson, MS 39216. The listed phone number is (601) 984-5160.
What is Sara Burwell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sara Burwell enrolled in Medicare?
Yes. Sara Burwell is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Sara Burwell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sara Burwell reassigns Medicare benefits to 2 organizations: State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS) and Fast Pace Mississippi, PLLC (Ripley, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sara Burwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sara Burwell was last updated on September 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sara Burwell · NPI 1063840148
Family physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since October 28, 2013.
## Identity
- **NPI:** 1063840148 (Entity type: Individual)
- **Enumerated:** October 28, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R878011 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 764 LAKELAND DR, Jackson, MS 39216-4651
- **Phone:** (601) 984-5160
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): State Of Mississippi - University Of Mississippi Medical Center (NPI 1477734689, Jackson, MS); Fast Pace Mississippi, PLLC (NPI 1447769559, Ripley, MS) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 8, 2017
- **Other identifiers:** Medicare PIN 324213YJ5D (MS); Medicaid 04930854 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1063840148) · Data from the CMS NPPES public registry.