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AMANDA SUE BURGESEN
NPI 1568084903
Nurse Anesthetist, Certified Registered in O Fallon, IL

Active since May 07, 2020Accepts Medicare Assignment
1 SAINT ELIZABETH BLVD, O FALLON, IL 62269(618) 234-2120(618) 641-5810 Get Directions Write a Review

NPPES record last updated: July 7, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 7, 2020, May 7, 2020 (2 updates tracked since 2020).

About Amanda Sue Burgesen NPPES

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

AMANDA SUE BURGESEN (NPI 1568084903) is an individual nurse anesthetist, certified registered in O Fallon, Illinois, licensed in Illinois (209021562) and active in the NPI registry since May 2020. She is affiliated with Barnes-jewish St Peters Hospital and is a graduate of Other (2020).

NPPES Registry Identity

NPI1568084903
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameAMANDA SUE BURGESEN
Location Address1 SAINT ELIZABETH BLVDO Fallon, IL 62269-1099
Mailing Address1 Saint Elizabeth BlvdO Fallon, IL 62269-1099 · (618) 234-2120 · Fax (618) 641-5810
Phone(618) 234-2120
Fax(618) 641-5810
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 7, 2020
Last NPPES UpdateJuly 7, 20202 updates tracked since enumeration
NPPES CertifiedJuly 7, 2020
✔ NPI 1568084903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in IL · 209021562
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 041448788 (IL)
1 SAINT ELIZABETH BLVD, O Fallon, IL 62269
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City.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

Amanda Sue Burgesen 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 ID1759706005
PECOS Enrollment IDI20220628003169

Medicare Billing Reassignments

2

Medicare enrollment records show Amanda Burgesen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Midwest Anesthesia Providers S.C
21 mi
Anesthesiology
11133 DUNN RD
Saint Louis, MO 63136
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Midwest Anesthesia Providers Sc
  • 230 clinicians in this Medicare group
NPI 1295189082 (865) 293-5676
Orthomed Staffing LLC
548 mi
Anesthesiology
15305 DALLAS PKWY STE 900
Addison, TX 75001
  • Reassigned Medicare billing, Missouri enrollment
  • 175 clinicians in this Medicare group
NPI 1225514276 (469) 863-9978

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 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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
27 services27 patients
Anesthesia for procedure on anus and rectum 00902
Anesthesia for procedures on the anus and rectum ensures comfort during medical procedures. It involves the administration of medication to numb the area or induce sleep, so you don't feel pain or discomfort. This helps doctors perform necessary procedures smoothly and effectively.
16 services16 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Barnes-Jewish St Peters Hospital

Acute Care Hospitals · Saint Peters, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260191
Location10 Hospital DrSaint Peters, MO 63376 · St. Charles County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
Most-billed visit code 99213
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.

ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Rehabilitation Unit
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
KATHRYN LOHMAN PA-C
Physician Assistant
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
MS. SHAMBRA CULLUM APN
Nurse Practitioner (Family)
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (217) 994-1485
ATA U. SIDDIQUI M.D.
Anesthesiology
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
DR. VINCENT JOSEPH DUENAS MD
Hospitalist
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
CAITLIN ALONZO
Nurse Practitioner
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
CEP AMERICA-ILLINOIS HOSPITALISTS, LLP
Internal Medicine
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
JENNIFER L CRIPPS CRNA
Nurse Anesthetist, Certified Registered
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120

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 Burgesen's NPI number?

The NPI number for Amanda Burgesen is 1568084903. It was assigned to this individual provider in the NPPES registry on May 7, 2020.

Where is Amanda Burgesen located?

Amanda Burgesen practices at 1 Saint Elizabeth Blvd, O Fallon, IL 62269. The listed phone number is (618) 234-2120.

What is Amanda Burgesen's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Amanda Burgesen enrolled in Medicare?

Yes. Amanda Burgesen 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 Amanda Burgesen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Burgesen reassigns Medicare benefits to 2 organizations: Midwest Anesthesia Providers S.C (Saint Louis, MO) and Orthomed Staffing LLC (Addison, TX). 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 Amanda Burgesen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Burgesen accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Amanda Burgesen 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 Amanda Burgesen affiliated with any hospitals?

According to CMS data, Amanda Burgesen is affiliated with Barnes-Jewish St Peters Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Burgesen was last updated on July 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.