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AMANDA LORI BURGESS
NPI 1508512302
Nurse Practitioner - Psychiatric/Mental Health in Gilbert, AZ

Active since March 01, 2022PECOS Enrolled
1422 E LARK ST, GILBERT, AZ 85297(480) 603-7380 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 6, 2022, Mar 1, 2022 (2 updates tracked since 2022).

About Amanda Lori Burgess NPPES

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

AMANDA LORI BURGESS (NPI 1508512302) is an individual psychiatric/mental health provider in Gilbert, Arizona, licensed in Arizona (280404) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508512302
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAMANDA LORI BURGESS
Location Address1422 E LARK STGilbert, AZ 85297-4577
Mailing Address1422 E Lark StGilbert, AZ 85297-4577
Phone(480) 603-7380
Sole ProprietorYes
Enumeration DateMarch 1, 2022
Last NPPES UpdateSeptember 6, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2022
✔ NPI 1508512302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AZ · 280404
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN144952 (AZ)
1422 E LARK ST, Gilbert, AZ 85297
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna HealthCare of Arizona, Inc, Oscar Health, Oscar Health Plan, Inc. 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 (PECOS)

Amanda Lori Burgess 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 Amanda Burgess reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Renew Wellness, LLC
7.7 mi
Multi-Specialty
3303 E BASELINE RD STE 204
Gilbert, AZ 85234
  • Reassigned Medicare billing, Arizona enrollment
  • 8 clinicians in this Medicare group
NPI 1104476993 (480) 630-1733

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 85297 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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 Amanda Burgess's NPI number?

The NPI number for Amanda Burgess is 1508512302. It was assigned to this individual provider in the NPPES registry on March 1, 2022.

Where is Amanda Burgess located?

Amanda Burgess practices at 1422 E Lark St, Gilbert, AZ 85297. The listed phone number is (480) 603-7380.

What is Amanda Burgess's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Amanda Burgess enrolled in Medicare?

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

Which organization bills Medicare for Amanda Burgess's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Burgess reassigns Medicare benefits to Renew Wellness, LLC (Gilbert, AZ). 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 Amanda Burgess's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Burgess accept?

Health plans from Cigna HealthCare of Arizona, Inc, Oscar Health, Oscar Health Plan, Inc. and UnitedHealthcare list Amanda Burgess 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.

When was this NPI record last updated?

The NPPES record for Amanda Burgess was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.