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PROF. TINA MARIE BURGESS ARNP
NPI 1962503045
Nurse Practitioner - Family in Port Orange, FL

Active since September 25, 2006PECOS Enrolled
790 DUNLAWTON AVE, SUITE E, PORT ORANGE, FL 32127(386) 760-1877(386) 760-2791 Get Directions Write a Review

NPPES record last updated: April 5, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Prof. Tina Marie Burgess Arnp NPPES

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

PROF. TINA MARIE BURGESS ARNP (NPI 1962503045) is an individual family provider in Port Orange, Florida, licensed in Florida (ARNP1840402) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962503045
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePROF. TINA MARIE BURGESSCredential: ARNP
Location Address790 DUNLAWTON AVE, SUITE EPort Orange, FL 32127-9279
Mailing AddressPo Box 9671Daytona Beach, FL 32120-9671 · (386) 676-7130 · Fax (386) 676-7125
Phone(386) 760-1877
Fax(386) 760-2791
Sole ProprietorNo
Enumeration DateSeptember 25, 2006
Last NPPES UpdateApril 5, 2017
✔ NPI 1962503045 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 · ARNP1840402
790 DUNLAWTON AVE, Port Orange, FL 32127
Open in Google Maps ↗

Other Identifiers 4

Other59-3667262FL · Tax Id#
Other45360FL · Medicare Group
Medicare UPINQ33860FL
Medicare PINU4132ZFL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prof. Tina Marie Burgess Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Tina Burgess reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Halifax Healthcare Systems Inc
5.6 mi
Family Medicine
303 N CLYDE MORRIS BLVD
Daytona Beach, FL 32114
  • Reassigned Medicare billing, Florida enrollment
  • 786 clinicians in this Medicare group
NPI 1245283530 (386) 254-4000
Florida Health Care Plan, Inc
7.3 mi
Preferred Provider Organization
2450 MASON AVE
Daytona Beach, FL 32114
  • Reassigned Medicare billing, Florida enrollment
  • 132 clinicians in this Medicare group
NPI 1558302042 (386) 615-4021

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 32127 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.

Other Providers at the Same Location NPPES 13

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

KAREN JAMES
Hearing Instrument Specialist
790 DUNLAWTON AVE, SUITE B
PORT ORANGE, FL 32127
Volusia County (386) 761-5780
DR. GEORGE THOMAS BERNARDO M.D.
Family Medicine
790 DUNLAWTON AVE, SUITE E
PORT ORANGE, FL 32127
Volusia County (386) 760-1877
DR. MARK DAVID KENDRICK M.D.
Family Medicine
790 DUNLAWTON AVE, SUITE E
PORT ORANGE, FL 32127
Volusia County (386) 760-1877
CONNECT HEARING, INC.
Hearing Aid Equipment
790 DUNLAWTON AVE, SUITE B
PORT ORANGE, FL 32127
Volusia County (386) 761-5780
JOANNE D SAXOUR MD
Family Medicine
790 DUNLAWTON AVE, SUITE G
PORT ORANGE, FL 32127
Volusia County (386) 756-4488
HARVINDER S CHADDA B DS
Dentist
790 DUNLAWTON AVE, SUITE F
PORT ORANGE, FL 32127
Volusia County (386) 767-5417
SONUS-USA, INC.
Audiologist-Hearing Aid Fitter
790 DUNLAWTON AVE, STE A
PORT ORANGE, FL 32127
Volusia County (386) 322-0909
DUNLAWTON FAMILY MEDICINE PLC
Clinic/Center (Primary Care)
790 DUNLAWTON AVE, SUITE E
PORT ORANGE, FL 32127
Volusia County (386) 760-1877

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 Tina Burgess's NPI number?

The NPI number for Tina Burgess is 1962503045. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Tina Burgess located?

Tina Burgess practices at 790 Dunlawton Ave Suite E, Port Orange, FL 32127. The listed phone number is (386) 760-1877.

What is Tina Burgess's specialty?

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

Is Tina Burgess enrolled in Medicare?

Yes. Tina Burgess is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tina Burgess's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Burgess reassigns Medicare benefits to 2 organizations: Halifax Healthcare Systems Inc (Daytona Beach, FL) and Florida Health Care Plan, Inc (Daytona Beach, FL). 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 Tina Burgess's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tina Burgess was last updated on April 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.