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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Tilly Burroughs was last updated on March 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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

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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), Medica and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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