JENNIFER BURGTORF
NPI 1205202025
Nurse Practitioner - Primary Care in Woodhaven, MI

Active since August 16, 2015PECOS Enrolled
25000 HALL RD STE 1, WOODHAVEN, MI 48183(734) 676-3373 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Burgtorf NPPES

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

JENNIFER BURGTORF (NPI 1205202025) is an individual primary care provider in Woodhaven, Michigan, licensed in Michigan (4704286508) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Grosse Ile.

NPPES Registry Identity

NPI1205202025
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameJENNIFER BURGTORF
Location Address25000 HALL RD STE 1Woodhaven, MI 48183-5112
Mailing Address25000 Hall Rd, Ste 1Woodhaven, MI 48183-5112 · (734) 676-3373
Sole ProprietorNo
Enumeration DateAugust 16, 2015
Last NPPES UpdateOctober 9, 2024
NPPES CertifiedOctober 4, 2024
NPI 1205202025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in MI · 4704286508
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 4704286508 (MI)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 4704286508 (MI)
25000 HALL RD STE 1, Woodhaven, MI 48183

Secondary Practice Location 1

Location 19049 Bellevue RdGrosse Ile, MI 48138-1858 · Phone (734) 676-3373

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jennifer Burgtorf 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 48183 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers11 claims28 services$4.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Family Medicine
25000 HALL RD STE 1
WOODHAVEN, MI 48183
Nurse Practitioner (Primary Care)
25000 HALL RD STE 1
WOODHAVEN, MI 48183
Internal Medicine
25000 HALL RD STE 1
WOODHAVEN, MI 48183

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 Jennifer Burgtorf's NPI number?

The NPI number for Jennifer Burgtorf is 1205202025. It was assigned to this individual provider in the NPPES registry on August 16, 2015.

Where is Jennifer Burgtorf located?

Jennifer Burgtorf practices at 25000 Hall Rd Ste 1, Woodhaven, MI 48183. The listed phone number is (734) 676-3373.

What is Jennifer Burgtorf's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Jennifer Burgtorf enrolled in Medicare?

Yes. Jennifer Burgtorf is registered in the Medicare PECOS enrollment system.

What insurance does Jennifer Burgtorf accept?

Health plans from UnitedHealthcare list Jennifer Burgtorf 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 Jennifer Burgtorf was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.