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MADELINE DONATO BURGOS APRN-BC
NPI 1245563964
Nurse Practitioner in Newark, DE

Active since September 14, 2009PECOS EnrolledAccepts Medicare Assignment
4701 OGLETOWN STANTON RD STE 2335, HELEN F. GRAHAM CANCER CENTER WEST, NEWARK, DE 19713(302) 623-4285(302) 623-4155 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Madeline Donato Burgos Aprn-bc NPPES

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

MADELINE DONATO BURGOS APRN-BC (NPI 1245563964) is an individual nurse practitioner in Newark, Delaware, licensed in Delaware (LH-0000191) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with Union Hospital Of Cecil County, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1245563964
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMADELINE DONATO BURGOSCredential: APRN-BC
Location Address4701 OGLETOWN STANTON RD STE 2335, HELEN F. GRAHAM CANCER CENTER WESTNewark, DE 19713-7016
Mailing Address200 Hygeia Dr, Suite 2300Newark, DE 19713-2049
Phone(302) 623-4285
Fax(302) 623-4155
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 14, 2009
Last NPPES UpdateSeptember 8, 2022
NPPES CertifiedSeptember 8, 2022
✔ NPI 1245563964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in DE · LH-0000191
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License APN-0001550 (DE)
4701 OGLETOWN STANTON RD STE 2335, Newark, DE 19713
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Madeline Donato Burgos Aprn-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375722663
PECOS Enrollment IDI20110119000217
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
92 services82 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
48 services42 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
34 services26 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Union Hospital Of Cecil County

Acute Care Hospitals · Elkton, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210032
Location106 Bow StreetElkton, MD 21921 · Cecil County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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 3

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

MARK G CADUNGOG MD
Obstetrics & Gynecology (Gynecologic Oncology)
4701 OGLETOWN STANTON RD STE 2335
NEWARK, DE 19713
New Castle County (302) 623-4285
ARIELLE KATCHER MD
Obstetrics & Gynecology (Gynecologic Oncology)
4701 OGLETOWN STANTON RD STE 2335
NEWARK, DE 19713
New Castle County (302) 623-4285
EMILY WEBSTER
Obstetrics & Gynecology (Gynecologic Oncology)
4701 OGLETOWN STANTON RD STE 2335
NEWARK, DE 19713
New Castle County (302) 623-4285

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 Madeline Burgos's NPI number?

The NPI number for Madeline Burgos is 1245563964. It was assigned to this individual provider in the NPPES registry on September 14, 2009.

Where is Madeline Burgos located?

Madeline Burgos practices at 4701 Ogletown Stanton Rd Ste 2335 Helen F. Graham Cancer Center West, Newark, DE 19713. The listed phone number is (302) 623-4285.

What is Madeline Burgos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Madeline Burgos enrolled in Medicare?

Yes. Madeline Burgos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Madeline Burgos accept?

Health plans from AmeriHealth Caritas Next list Madeline Burgos 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.

Is Madeline Burgos affiliated with any hospitals?

According to CMS data, Madeline Burgos is affiliated with Union Hospital Of Cecil County.

When was this NPI record last updated?

The NPPES record for Madeline Burgos was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.