FLEETA BURGESS APN-BC
NPI 1710121942
Nurse Practitioner - Adult Health in Montgomery, NY
About Fleeta Burgess Apn-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FLEETA BURGESS APN-BC (NPI 1710121942) is an individual adult health provider in Montgomery, New York, licensed in New Jersey (26NJ00191200) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Livingston.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fleeta Burgess Apn-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
7Medicare enrollment records show Fleeta Burgess reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wawarsing, NY 12489
- Reassigned Medicare billing, New York enrollment
- 3 clinicians in this Medicare group
Brooklyn, NY 11210
- Reassigned Medicare billing, New York enrollment
- 94 clinicians in this Medicare group
Bohemia, NY 11716
- Reassigned Medicare billing, New York enrollment
- 754 clinicians in this Medicare group
Princeton, NJ 08540
- Reassigned Medicare billing, New Jersey enrollment
- 421 clinicians in this Medicare group
Princess Anne, MD 21853
- Reassigned Medicare billing, New York enrollment
- 325 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Delaware, Maine, Ohio and Virginia enrollments
- 78 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Connecticut, District of Columbia, Maryland and Pennsylvania enrollments
- 167 clinicians in this Medicare group
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 12549 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Fleeta Burgess's NPI number?
The NPI number for Fleeta Burgess is 1710121942. It was assigned to this individual provider in the NPPES registry on May 1, 2009.
Where is Fleeta Burgess located?
Fleeta Burgess practices at 940 Ny-17k, Montgomery, NY 12549. The listed phone number is (845) 406-4992.
What is Fleeta Burgess's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Fleeta Burgess enrolled in Medicare?
Yes. Fleeta Burgess is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Fleeta Burgess's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Fleeta Burgess reassigns Medicare benefits to 7 organizations: Comprehensive Ny Professional Medical PLLC (Wawarsing, NY), Patient First Medical Practice PC (Brooklyn, NY), Brookview Medical Associates, PLLC (Bohemia, NY), Signify Health Medical Associates Of New Jersey, LLC (Princeton, NJ), Medical Director Services PC (Princess Anne, MD) and 2 more organizations, listed in the Medicare section above. 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 Fleeta Burgess's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Fleeta Burgess accept?
Health plans from CareSource (Common Ground Healthcare) list Fleeta 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 Fleeta Burgess was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Fleeta Burgess, APN-BC · NPI 1710121942
Adult Health physician in Montgomery, New York. Individual provider, active in the CMS NPPES registry since May 1, 2009.
## Identity
- **NPI:** 1710121942 (Entity type: Individual)
- **Enumerated:** May 1, 2009
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 26NJ00191200 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 940 NY-17K, Montgomery, NY 12549
- **Phone:** (845) 406-4992
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Comprehensive Ny Professional Medical PLLC (NPI 1750157111, Wawarsing, NY); Patient First Medical Practice PC (NPI 1255067955, Brooklyn, NY); Brookview Medical Associates, PLLC (NPI 1871965855, Bohemia, NY); Signify Health Medical Associates Of New Jersey, LLC (NPI 1174187728, Princeton, NJ); Medical Director Services PC (NPI 1871955807, Princess Anne, MD); and 2 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 7, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1710121942) · Data from the CMS NPPES public registry.