MARY ELIZABETH BURWELL FNP
NPI 1265957500
Nurse Practitioner - Family in San Diego, CA

Q: What is Mary Burwell's NPI number?

The NPI number for Mary Burwell is 1265957500. It was assigned to this individual provider in the NPPES registry on August 8, 2017.

Q: What is Mary Burwell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Burwell was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 08, 2017PECOS Enrolled

7901 FROST ST, SAN DIEGO, CA 92123(858) 939-3400 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2018, Aug 8, 2017 (2 updates tracked since 2017).

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About Mary Elizabeth Burwell Fnp NPPES

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

MARY ELIZABETH BURWELL FNP (NPI 1265957500) is an individual family provider in San Diego, California, licensed in California (95007101) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Santee, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1265957500

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY ELIZABETH BURWELLCredential: FNP

Location Address7901 FROST STSan Diego, CA 92123-2701

Mailing Address7901 Frost StSan Diego, CA 92123-2701 · (858) 939-3400

Phone(858) 939-3400

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 8, 2017

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1265957500 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 CA · 95007101

7901 FROST ST, San Diego, CA 92123

Open in Google Maps ↗

Secondary Practice Location 1

Location 110201 Mission Gorge Rd Ste MSantee, CA 92071-3026 · Phone (619) 596-5445

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Elizabeth Burwell Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103235239

PECOS Enrollment IDI20260130003364

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 Mary Burwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Consensus Medical Group LLC

2,427 mi

Internal Medicine

2399 ROUTE 34 BLDG A5
Manasquan, NJ 08736

Reassigned Medicare billing, New Jersey enrollment
150 clinicians in this Medicare group

NPI 1811466881 (732) 528-5533

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 92123 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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 3

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

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers12 claims1,110 services$0.39 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

3 suppliers16 claims16 services$19.08 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

4 suppliers12 claims13 services$10.75 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 20

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

JOANNA PARK

Pharmacist