NICOLE LYNN BURGESS PT
NPI 1194914648
Physical Therapist in Saint Joseph, MI
About Nicole Lynn Burgess Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE LYNN BURGESS PT (NPI 1194914648) is an individual physical therapist in Saint Joseph, Michigan, licensed in Michigan (5501013985) and active in the NPI registry since October 2007. She maintains 2 additional practice locations and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole Lynn Burgess Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicole Burgess reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Joseph, MI 49085
- Reassigned Medicare billing, Michigan enrollment
- 15 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.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT JOSEPH, MI 49085
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 Nicole Burgess's NPI number?
The NPI number for Nicole Burgess is 1194914648. It was assigned to this individual provider in the NPPES registry on October 22, 2007.
Where is Nicole Burgess located?
Nicole Burgess practices at 183 Peace Blvd, Saint Joseph, MI 49085. The listed phone number is (269) 408-1636.
What is Nicole Burgess's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Nicole Burgess enrolled in Medicare?
Yes. Nicole Burgess is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nicole Burgess's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Burgess reassigns Medicare benefits to Southwest Michigan Center For Orthopaedic And Sports Medicine P (Saint Joseph, MI). The 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 Nicole Burgess's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Burgess accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Nicole Burgess as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Nicole Burgess was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.