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DONNA M BURTON NP
NPI 1457740565
Nurse Practitioner in Saginaw, MI

Active since January 13, 2015PECOS EnrolledAccepts Medicare Assignment
4760 FASHION SQUARE BLVD STE L-1, SAGINAW, MI 48604(989) 282-4003(888) 491-7220 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Donna M Burton Np NPPES

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

DONNA M BURTON NP (NPI 1457740565) is an individual nurse practitioner in Saginaw, Michigan, licensed in Michigan (4704278281) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Mclaren Bay Region, and is a graduate of Saginaw Valley Medical College - Nlg (2014).

NPPES Registry Identity

NPI1457740565
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDONNA M BURTONCredential: NP
Location Address4760 FASHION SQUARE BLVD STE L-1Saginaw, MI 48604-2620
Mailing Address801 Rosehill RdJackson, MI 49202-1762 · (517) 212-2008 · Fax (517) 212-2009
Phone(989) 282-4003
Fax(888) 491-7220
Sole ProprietorNo
Medical School CMSSaginaw Valley Medical College - NlgGraduated 2014
Enumeration DateJanuary 13, 2015
Last NPPES UpdateAugust 12, 2024
NPPES CertifiedAugust 12, 2024
✔ NPI 1457740565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704278281
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.
4760 FASHION SQUARE BLVD STE L-1, Saginaw, MI 48604
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Donna M Burton Np 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 ID2163747031
PECOS Enrollment IDI20150217002018
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 Reassignments

5

Medicare enrollment records show Donna Burton reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northview Medical House Calls Plc
Same address
Family Medicine
4760 FASHION SQUARE BLVD STE L-1
Saginaw, MI 48604
  • Reassigned Medicare billing, Michigan enrollment
  • 82 clinicians in this Medicare group
NPI 1336447002 (517) 212-9000
Careline Palliative Care LLC
86 mi
Hospice and Palliative Medicine
801 ROSEHILL RD
Jackson, MI 49202
  • Reassigned Medicare billing, Michigan enrollment
  • 73 clinicians in this Medicare group
NPI 1801367073 (517) 212-2008
Northview Health Specialists, PLLC
88 mi
Family Medicine
770 KENMOOR AVE SE STE 100
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 72 clinicians in this Medicare group
NPI 1629558978 (616) 272-3533
Careconnectmd Michigan PC
90 mi
Geriatric Medicine
3200 GREENFIELD RD STE 300
Dearborn, MI 48120
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Careconnectmd Michigan P.C.
  • 56 clinicians in this Medicare group
NPI 1477288348 (888) 789-9585
Provider Partners Care Management LP
473 mi
Nurse Practitioner
8820 COLUMBIA 100 PKWY STE 430
Columbia, MD 21045
  • Reassigned Medicare billing, Michigan enrollment
  • 52 clinicians in this Medicare group
NPI 1013348028 (443) 275-9800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489
Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.
300 services49 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
280 services93 patients
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
124 services52 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
54 services31 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
38 services29 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Mclaren Bay Region

Acute Care Hospitals · Bay City, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230041
Location1900 Columbus AveBay City, MI 48708 · Bay County
Emergency services Birthing friendly

Covenant Medical Center

Acute Care Hospitals · Saginaw, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230070
Location1447 N HarrisonSaginaw, MI 48602 · Saginaw County
Emergency services Birthing friendly

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48604 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.

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.

ANGELA RODRIGUEZ
Nurse Practitioner (Family)
4760 FASHION SQUARE BLVD STE L-1
SAGINAW, MI 48604
Saginaw County (989) 282-4003
JOY M MCCLEESE FNP-BC
Nurse Practitioner
4760 FASHION SQUARE BLVD STE L-1
SAGINAW, MI 48604
Saginaw County (989) 282-4003
RACHEL SEAVOLT NP
Nurse Practitioner (Family)
4760 FASHION SQUARE BLVD STE L-1
SAGINAW, MI 48604
Saginaw County (989) 282-4003
MRS. ROSE MARY NOETZEL SPELLMAN FNP-C
Nurse Practitioner (Family)
4760 FASHION SQUARE BLVD STE L-1
SAGINAW, MI 48604
Saginaw County (989) 282-4003
CHRISTINE M WIELAND FNP-C
Nurse Practitioner (Family)
4760 FASHION SQUARE BLVD STE L-1
SAGINAW, MI 48604
Saginaw County (989) 282-4003
CARRIE L. KOVOLSKI FNP-C
Nurse Practitioner (Family)
4760 FASHION SQUARE BLVD STE L-1
SAGINAW, MI 48604
Saginaw County (989) 282-4003
MRS. TRACY LEIGH THOMPSON FNP-BC
Nurse Practitioner (Family)
4760 FASHION SQUARE BLVD STE L-1
SAGINAW, MI 48604
Saginaw County (989) 282-4003
JENNIFER BARNHART AGPCNP-BC
Nurse Practitioner (Gerontology)
4760 FASHION SQUARE BLVD STE L-1
SAGINAW, MI 48604
Saginaw County (989) 282-4003

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 Donna Burton's NPI number?

The NPI number for Donna Burton is 1457740565. It was assigned to this individual provider in the NPPES registry on January 13, 2015.

Where is Donna Burton located?

Donna Burton practices at 4760 Fashion Square Blvd Ste L-1, Saginaw, MI 48604. The listed phone number is (989) 282-4003.

What is Donna Burton's specialty?

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

Is Donna Burton enrolled in Medicare?

Yes. Donna Burton 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.

Which organizations bill Medicare for Donna Burton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Burton reassigns Medicare benefits to 5 organizations: Northview Medical House Calls Plc (Saginaw, MI), Careline Palliative Care LLC (Jackson, MI), Northview Health Specialists, PLLC (Grand Rapids, MI), Careconnectmd Michigan PC (Dearborn, MI) and Provider Partners Care Management LP (Columbia, MD). Each 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 Donna Burton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Burton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Donna Burton 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 Donna Burton affiliated with any hospitals?

According to CMS data, Donna Burton is affiliated with Mclaren Bay Region, Covenant Medical Center and Mymichigan Medical Center Midland.

When was this NPI record last updated?

The NPPES record for Donna Burton was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.