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MRS. TILLY BURROUGHS APNP, PMHNP-BC
NPI 1669109641
Nurse Practitioner - Psychiatric/Mental Health in Kenosha, WI

Active since August 01, 2022PECOS Enrolled
1010 35TH ST, KENOSHA, WI 53140(262) 725-4426(262) 299-7136 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2025, Feb 20, 2023, Oct 7, 2022 and 1 more (4 updates tracked since 2022).

About Mrs. Tilly Burroughs Apnp, Pmhnp-bc NPPES

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

MRS. TILLY BURROUGHS APNP, PMHNP-BC (NPI 1669109641) is an individual psychiatric/mental health provider in Kenosha, Wisconsin, licensed in Wisconsin (13216-33) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1669109641
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. TILLY BURROUGHSCredential: APNP, PMHNP-BC
Location Address1010 35TH STKenosha, WI 53140-1902
Mailing Address1010 35th StKenosha, WI 53140-1902 · (262) 725-4426 · Fax (262) 299-7136
Phone(262) 725-4426
Fax(262) 299-7136
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 1, 2022
Last NPPES UpdateMarch 17, 20254 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1669109641 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 WI · 13216-33
Also ListedNurse PractitionerTaxonomy 363L00000X · License 13216-33 (WI)
1010 35TH ST, Kenosha, WI 53140
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan 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)

Mrs. Tilly Burroughs Apnp, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234594995
PECOS Enrollment IDI20230502001678
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 Tilly Burroughs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Psychiatric Care, LLC
Same address
Psychiatric/Mental Health
1010 35TH ST
Kenosha, WI 53140
  • Reassigned Medicare billing, Wisconsin enrollment
  • 6 clinicians in this Medicare group
NPI 1487178984 (262) 725-4426

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 53140 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE MARIE TURCOTTE APNP
Nurse Practitioner (Psychiatric/Mental Health)
1010 35TH ST
KENOSHA, WI 53140
Kenosha County (262) 725-4426
SHAUNA K RICHARDSON APNP
Nurse Practitioner (Psychiatric/Mental Health)
1010 35TH ST
KENOSHA, WI 53140
Kenosha County (262) 725-4426
FAMILY PSYCHIATRIC CARE, LLC
Nurse Practitioner (Psychiatric/Mental Health)
1010 35TH ST
KENOSHA, WI 53140
Kenosha County (262) 725-4426
ALEXANDRIA COLLEEN DATTILO APNP
Nurse Practitioner (Psychiatric/Mental Health)
1010 35TH ST
KENOSHA, WI 53140
Kenosha County (262) 725-4426
MS. ALYSSA SKALITZKY APNP
Nurse Practitioner (Psychiatric/Mental Health)
1010 35TH ST
KENOSHA, WI 53140
Kenosha County (262) 725-4426

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 Tilly Burroughs's NPI number?

The NPI number for Tilly Burroughs is 1669109641. It was assigned to this individual provider in the NPPES registry on August 1, 2022.

Where is Tilly Burroughs located?

Tilly Burroughs practices at 1010 35th St, Kenosha, WI 53140. The listed phone number is (262) 725-4426.

What is Tilly Burroughs's specialty?

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

Is Tilly Burroughs enrolled in Medicare?

Yes. Tilly Burroughs is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tilly Burroughs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tilly Burroughs reassigns Medicare benefits to Family Psychiatric Care, LLC (Kenosha, WI). 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 Tilly Burroughs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tilly Burroughs accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, Network Health and Quartz and 1 other insurer list Tilly Burroughs 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 Tilly Burroughs was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.