LINDSEY JO PROVENZANO BURGESS PA-C
NPI 1992137012
Physician Assistant in Elkhorn, WI

Q: What is Lindsey Burgess's NPI number?

The NPI number for Lindsey Burgess is 1992137012. It was assigned to this individual provider in the NPPES registry on July 31, 2013. The provider is also known as Lindsey Jo Provenzano Pa-C.

Q: What is Lindsey Burgess's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Lindsey Burgess was last updated on January 12, 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.

Active since July 31, 2013PECOS EnrolledAccepts Medicare Assignment

82.39/100

CMS Quality Rating

201 E MORRISSEY DR, ELKHORN, WI 53121(262) 723-6666 Get Directions Write a Review

NPPES record last updated: January 12, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lindsey Jo Provenzano Burgess Pa-c NPPES

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

LINDSEY JO PROVENZANO BURGESS PA-C (NPI 1992137012) is an individual physician assistant in Elkhorn, Wisconsin, licensed in Wisconsin (3195) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1992137012

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLINDSEY JO PROVENZANO BURGESSCredential: PA-C

Location Address201 E MORRISSEY DRElkhorn, WI 53121-4395

Mailing Address201 E Morrissey DrElkhorn, WI 53121-4395 · (262) 723-6666

Phone(262) 723-6666

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 31, 2013

Last NPPES UpdateJanuary 12, 2017

✔ NPI 1992137012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WI · 3195

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

201 E MORRISSEY DR, Elkhorn, WI 53121

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Other Names 1

Former Name (1)Lindsey Jo Provenzano Pa-c

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

Lindsey Jo Provenzano Burgess Pa-c 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 ID4385879428

PECOS Enrollment IDI20131028000919

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.

Hospital Affiliations CMS Care Compare

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

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520096

Location3801 Spring StRacine, WI 53405 · Racine County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53121 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

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

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.

82.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.88

Promoting Interoperability

Improvement Activities

Cost

74.38

Other Providers at the Same Location NPPES 11

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

SUSAN MARIE EGAN MSN,FNP-C

Nurse Practitioner (Family)