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JENNIFER A BURGESS FNP-C
NPI 1316465636
Nurse Practitioner - Family in Portland, ME

Active since September 07, 2017PECOS Enrolled
98.06/100
CMS Quality Rating
716 STEVENS AVE, PORTLAND, ME 04103(207) 221-4242 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer A Burgess Fnp-c NPPES

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

JENNIFER A BURGESS FNP-C (NPI 1316465636) is an individual family provider in Portland, Maine, licensed in Maine (CNP171078) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Biddeford.

NPPES Registry Identity

NPI1316465636
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER A BURGESSCredential: FNP-C
Location Address716 STEVENS AVEPortland, ME 04103-2656
Mailing AddressPo Box 10475Portland, ME 04104-0475
Phone(207) 221-4242
Sole ProprietorNo
Enumeration DateSeptember 7, 2017
Last NPPES UpdateMarch 17, 2018
✔ NPI 1316465636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ME · CNP171078
Also ListedRegistered NurseTaxonomy 163W00000X · License RN61814 (ME)
716 STEVENS AVE, Portland, ME 04103
Open in Google Maps ↗

Secondary Practice Location 1

Location 111 Hills Beach RdBiddeford, ME 04005-9526 · Phone (207) 602-2358

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer A Burgess Fnp-c 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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Burgess reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mainehealth
0.5 mi
Otolaryngology
1250 FOREST AVE
Portland, ME 04103
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
NPI 1649577768 (207) 797-5753

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 04103 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

KASSIDY ANN COLLINS
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 221-4529
DR. ALBERT GALLEMIT ABENA D.D.S.
Dentist
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 221-4687
ALIYAH ROSE MURPHY
Physician Assistant
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 283-0171
JULIA CARTFORD
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 221-4516
JESSICA KELLY
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 283-0171
STEPHANIE MONIZ
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 221-4516
CYNTHIA CRYSTAL TANG
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 602-2329
MIKAYLA ANN THOMPSON
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 221-4529

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 Burgess's NPI number?

The NPI number for Jennifer Burgess is 1316465636. It was assigned to this individual provider in the NPPES registry on September 7, 2017.

Where is Jennifer Burgess located?

Jennifer Burgess practices at 716 Stevens Ave, Portland, ME 04103. The listed phone number is (207) 221-4242.

What is Jennifer Burgess's specialty?

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

Is Jennifer Burgess enrolled in Medicare?

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

Which organization bills Medicare for Jennifer Burgess's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Burgess reassigns Medicare benefits to Mainehealth (Portland, ME). 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 Jennifer Burgess's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Burgess 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.