ANGELA GRACE DE MESA BURNOS
NPI 1114866803
Nurse Practitioner - Family in Bronx, NY

Q: What is Angela Grace Burnos's NPI number?

The NPI number for Angela Grace Burnos is 1114866803. It was assigned to this individual provider in the NPPES registry on March 26, 2026.

Q: What is Angela Grace Burnos's specialty?

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

Active since March 26, 2026PECOS Enrolled

1825 BOSTON RD, BRONX, NY 10460(718) 842-8040 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 31, 2026, Mar 26, 2026 (2 updates tracked since 2026).

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About Angela Grace De Mesa Burnos NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA GRACE DE MESA BURNOS (NPI 1114866803) is an individual family provider in Bronx, New York, licensed in New York (355904) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1114866803

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANGELA GRACE DE MESA BURNOS

Location Address1825 BOSTON RDBronx, NY 10460-4996

Mailing Address600 E 233rd St Ste 5nBronx, NY 10466-2604 · (718) 920-9536

Phone(718) 842-8040

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMarch 26, 2026

Last NPPES UpdateMarch 31, 20262 updates tracked since enumeration

NPPES CertifiedMarch 31, 2026

✔ NPI 1114866803 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 NY · 355904

1825 BOSTON RD, Bronx, NY 10460

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Grace De Mesa Burnos is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961978473

PECOS Enrollment IDI20260421002558

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.

Medicare Billing Reassignment

Medicare enrollment records show Angela Grace Burnos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montefiore Medical Center

2.8 mi

Anesthesiology

111 E 210TH ST
Bronx, NY 10467

Reassigned Medicare billing, New York enrollment
5,251 clinicians in this Medicare group

NPI 1063525152 (914) 378-6021

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 10460 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHIEMEKA AKUDIKE

Nurse Practitioner (Family)