MR. JAMES BURNS III APN
NPI 1710310081
Nurse Practitioner - Adult Health in Waldwick, NJ

Active since August 09, 2013PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
111 MANHATTAN AVE, WALDWICK, NJ 07463(201) 463-5464 Get Directions Write a Review

NPPES record last updated: August 9, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. James Burns Iii Apn NPPES

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

MR. JAMES BURNS III APN (NPI 1710310081) is an individual adult health provider in Waldwick, New Jersey, licensed in New Jersey (26NR13165500) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1710310081
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. JAMES BURNS IIICredential: APN
Location Address111 MANHATTAN AVEWaldwick, NJ 07463-2228
Mailing Address111 Manhattan AveWaldwick, NJ 07463-2228 · (201) 463-5464
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 9, 2013
✔ NPI 1710310081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NR13165500
111 MANHATTAN AVE, Waldwick, NJ 07463

Accepted 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

Mr. James Burns Iii Apn 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 ID1557598471
PECOS Enrollment IDI20131220000144
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 Reassignments

3

Medicare enrollment records show James Burns reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
130 SPEEDWELL AVE
Morris Plains, NJ 07950
  • Reassigned Medicare billing, New Jersey enrollment
  • 11 clinicians in this Medicare group
Family Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 689 clinicians in this Medicare group
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 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.

Hospital Affiliations CMS Care Compare

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07463 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

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 James Burns's NPI number?

The NPI number for James Burns is 1710310081. It was assigned to this individual provider in the NPPES registry on August 9, 2013.

Where is James Burns located?

James Burns practices at 111 Manhattan Ave, Waldwick, NJ 07463. The listed phone number is (201) 463-5464.

What is James Burns's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is James Burns enrolled in Medicare?

Yes. James Burns 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 James Burns's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Burns reassigns Medicare benefits to 3 organizations: Faster Urgent Care, LLC (Morris Plains, NJ), Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). 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 James Burns's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Burns accept?

Health plans from Oscar Health list James Burns 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 James Burns affiliated with any hospitals?

According to CMS data, James Burns is affiliated with Hackensack University Medical Center.

When was this NPI record last updated?

The NPPES record for James Burns was last updated on August 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.