PAULA BURGIN APRN
NPI 1851815351
Nurse Practitioner - Family in Ocala, FL

Active since July 27, 2017PECOS EnrolledAccepts Medicare Assignment
89.67/100
CMS Quality Rating
2801 SE 1ST AVE STE 101, OCALA, FL 34471(352) 690-6300(352) 690-6802 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 22, 2021, Feb 22, 2019, Dec 31, 2018 and 2 more (5 updates tracked since 2017).

About Paula Burgin Aprn NPPES

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

PAULA BURGIN APRN (NPI 1851815351) is an individual family provider in Ocala, Florida, licensed in Florida (3343352) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1851815351
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePAULA BURGINCredential: APRN
Location Address2801 SE 1ST AVE STE 101Ocala, FL 34471-0478
Mailing AddressPo Box 16568Jacksonville, FL 32245-6568 · (904) 472-2300 · Fax (904) 472-2330
Fax(352) 690-6802
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 27, 2017
Last NPPES UpdateFebruary 22, 20215 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2021
NPI 1851815351 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 FL · 3343352
2801 SE 1ST AVE STE 101, Ocala, FL 34471

Other Names 1

Professional Name (2)Paula Burgin Arnp

Other Identifiers 1

Medicaid022059400FL

Accepted 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

Paula Burgin Aprn 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 ID8224303094
PECOS Enrollment IDI20171004000848
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 8

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.
102 services83 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
49 services49 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.
46 services46 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
35 services21 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
23 services21 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34471 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

89.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.86
Promoting Interoperability100
Improvement Activities40
Cost67.71

Reported Quality Measures

Breast Cancer Screening
80%476 patients4/55-star benchmark: 93%
Cervical Cancer Screening
97%1,269 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
38%167 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
56%643 patients3/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
100%2,220 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
28%1,468 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
37%2,178 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 1,436 patients
0%1,436 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
2801 SE 1ST AVE STE 101
OCALA, FL 34471
Advanced Practice Midwife
2801 SE 1ST AVE STE 101
OCALA, FL 34471
Nurse Practitioner (Family)
2801 SE 1ST AVE STE 101
OCALA, FL 34471
Urology (Urogynecology and Reconstructive Pelvic Surgery)
2801 SE 1ST AVE STE 101
OCALA, FL 34471

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 Paula Burgin's NPI number?

The NPI number for Paula Burgin is 1851815351. It was assigned to this individual provider in the NPPES registry on July 27, 2017. The provider is also known as Paula Burgin Arnp.

Where is Paula Burgin located?

Paula Burgin practices at 2801 SE 1st Ave Ste 101, Ocala, FL 34471. The listed phone number is (352) 690-6300.

What is Paula Burgin's specialty?

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

Is Paula Burgin enrolled in Medicare?

Yes. Paula Burgin 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.

What insurance does Paula Burgin accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed and UnitedHealthcare list Paula Burgin 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 Paula Burgin was last updated on February 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.