JENNIFER M BURGESS APNP
NPI 1851780043
Nurse Practitioner - Family in Fond Du Lac, WI

Q: What is Jennifer Burgess's NPI number?

The NPI number for Jennifer Burgess is 1851780043. It was assigned to this individual provider in the NPPES registry on January 12, 2015.

Q: What is Jennifer Burgess's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Burgess was last updated on December 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 12, 2015PECOS EnrolledAccepts Medicare Assignment

420 E DIVISION ST, FOND DU LAC, WI 54935(920) 926-8450(920) 926-8997 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jennifer M Burgess Apnp NPPES

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

JENNIFER M BURGESS APNP (NPI 1851780043) is an individual family provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (6146) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with St. Agnes Hospital Hospice, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1851780043

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNIFER M BURGESSCredential: APNP

Location Address420 E DIVISION STFond Du Lac, WI 54935-4560

Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (920) 926-8450

Phone(920) 926-8450

Fax(920) 926-8997

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJanuary 12, 2015

Last NPPES UpdateDecember 10, 2020

NPPES CertifiedDecember 10, 2020

✔ NPI 1851780043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WI · 6146

420 E DIVISION ST, Fond Du Lac, WI 54935

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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, Network Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer M Burgess Apnp 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 ID6507182318

PECOS Enrollment IDI20150312002389

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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

23 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

St. Agnes Hospital Hospice

Acute Care Hospitals · Fond Du Lac, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520088

Location430 E Division StFond Du Lac, WI 54935 · Fond Du Lac County

Emergency services Birthing friendly

Ripon Medical Center

Critical Access Hospitals · Ripon, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521321

Location845 Parkside StRipon, WI 54971 · Fond Du Lac County

Emergency services

Waupun Memorial Hospital

Critical Access Hospitals · Waupun, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521327

Location620 W Brown StWaupun, WI 53963 · Fond Du Lac County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54935 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.

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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.

MARY R KELM NP

Nurse Practitioner