SAMANTHA BURGESS NP
NPI 1427616580
Nurse Practitioner - Gerontology in Grand Rapids, MI

Q: What is Samantha Burgess's NPI number?

The NPI number for Samantha Burgess is 1427616580. It was assigned to this individual provider in the NPPES registry on June 4, 2019.

Q: What is Samantha Burgess's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Burgess was last updated on March 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 04, 2019PECOS Enrolled

89.89/100

CMS Quality Rating

145 MICHIGAN ST NE STE 3100, GRAND RAPIDS, MI 49503(616) 954-9800(616) 954-2116 Get Directions Write a Review

NPPES record last updated: March 13, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 13, 2020, Jul 17, 2019, Jun 4, 2019 (3 updates tracked since 2019).

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About Samantha Burgess Np NPPES

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

SAMANTHA BURGESS NP (NPI 1427616580) is an individual gerontology provider in Grand Rapids, Michigan, licensed in Michigan (4704350687) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427616580

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameSAMANTHA BURGESSCredential: NP

Location Address145 MICHIGAN ST NE STE 3100Grand Rapids, MI 49503-2563

Mailing Address5800 Foremost Dr Se Ste 300Grand Rapids, MI 49546-7062 · (616) 954-9800

Phone(616) 954-9800

Fax(616) 954-2116

Sole ProprietorNo

Enumeration DateJune 4, 2019

Last NPPES UpdateMarch 13, 20203 updates tracked since enumeration

NPPES CertifiedMarch 13, 2020

✔ NPI 1427616580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MI · 4704350687

145 MICHIGAN ST NE STE 3100, Grand Rapids, MI 49503

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Burgess Np 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.

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 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.

108 services74 patients

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.

43 services32 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.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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.

89.89/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.75

Promoting Interoperability

Improvement Activities

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.

RICHARD CHARLIE HALL R.PH.

Pharmacist

145 MICHIGAN ST NE STE 3100, ATTN. PHARMACY
GRAND RAPIDS, MI 49503

Kent County (616) 954-5555

HARITHA GANESH REDDY M.D.

Internal Medicine (Hematology & Oncology)