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

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: August 02, 2026.

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

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
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

Medicare Participation & PECOS CMS

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

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.

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 6

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

Nurse Practitioner (Family)
1825 BOSTON RD
BRONX, NY 10460
Clinic/Center (Multi-Specialty)
1825 BOSTON RD
BRONX, NY 10460
Clinic/Center (Primary Care)
1825 BOSTON RD
BRONX, NY 10460
Nurse Practitioner (Family)
1825 BOSTON RD
BRONX, NY 10460
Nurse Practitioner (Family)
1825 BOSTON RD
BRONX, NY 10460
Nurse Practitioner
1825 BOSTON RD
BRONX, NY 10460

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 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.

Where is Angela Grace Burnos located?

Angela Grace Burnos practices at 1825 Boston Rd, Bronx, NY 10460. The listed phone number is (718) 842-8040.

What is Angela Grace Burnos's specialty?

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

Is Angela Grace Burnos enrolled in Medicare?

Yes. Angela Grace Burnos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angela Grace Burnos was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.