MRS. GWENDOLYN DENISE BURNSIDE FNP-C
NPI 1548941669
Nurse Practitioner - Family in Philadelphia, MS

Active since July 31, 2023PECOS EnrolledAccepts Medicare Assignment
11841 ROAD 832, PHILADELPHIA, MS 39350(601) 416-4488 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mrs. Gwendolyn Denise Burnside Fnp-c NPPES

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

MRS. GWENDOLYN DENISE BURNSIDE FNP-C (NPI 1548941669) is an individual family provider in Philadelphia, Mississippi, licensed in Mississippi (906156) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1548941669
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. GWENDOLYN DENISE BURNSIDECredential: FNP-C
Location Address11841 ROAD 832Philadelphia, MS 39350-6837
Mailing Address11841 Road 832Philadelphia, MS 39350-6837 · (601) 416-4488
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 31, 2023
Last NPPES UpdateApril 8, 2025
NPPES CertifiedApril 8, 2025
✔ NPI 1548941669 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 MS · 906156
11841 ROAD 832, Philadelphia, MS 39350

Secondary Practice Location 1

Location 11017 W Beacon StPhiladelphia, MS 39350-3218 · Phone (769) 200-0730 · Fax (769) 200-0731

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Gwendolyn Denise Burnside Fnp-c 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 ID5193172518
PECOS Enrollment IDI20231107001892, I20260409000081
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39350 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 Gwendolyn Burnside's NPI number?

The NPI number for Gwendolyn Burnside is 1548941669. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Where is Gwendolyn Burnside located?

Gwendolyn Burnside practices at 11841 Road 832, Philadelphia, MS 39350. The listed phone number is (601) 416-4488.

What is Gwendolyn Burnside's specialty?

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

Is Gwendolyn Burnside enrolled in Medicare?

Yes. Gwendolyn Burnside 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.

What insurance does Gwendolyn Burnside accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Gwendolyn Burnside 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 Gwendolyn Burnside was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.