SARA BURWELL
NPI 1063840148
Nurse Practitioner - Family in Jackson, MS

Q: 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.

Q: What is Sara Burwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Sara Burwell was last updated on September 8, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 28, 2013PECOS Enrolled

764 LAKELAND DR, JACKSON, MS 39216(601) 984-5160 Get Directions Write a Review

NPPES record last updated: September 8, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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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

NPI1063840148

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSARA BURWELL

Location Address764 LAKELAND DRJackson, MS 39216-4651

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-5160 · Fax (601) 984-6439

Phone(601) 984-5160

Sole ProprietorNo

Enumeration DateOctober 28, 2013

Last NPPES UpdateSeptember 8, 2017

✔ NPI 1063840148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · R878011

764 LAKELAND DR, Jackson, MS 39216

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Other Identifiers 2

Medicare PIN324213YJ5DMS

Medicaid04930854MS

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sara Burwell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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

Colorectal Cancer Screening

3%180 patients1/55-star benchmark: 88%

Controlling High Blood Pressure

52%21 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

98%425 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

19%417 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

26%384 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 6% · 250 patients

5%250 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.