MRS. ASHTIN MARIE BURGESS (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1093550741

MRS. ASHTIN MARIE BURGESS (PMHNP-BC) is a healthcare provider. based in Pocahontas, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 229468 (AR). The NPI Number for MRS. ASHTIN MARIE BURGESS (PMHNP-BC) is 1093550741

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ASHTIN MARIE BURGESS (PMHNP-BC)
NPI
1093550741
Phone
(870) 810-2539
Address
704 MANSON RD
Enumeration Date
26 June 2024
Last Update Date
26 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8702430424
Graduation Year
2024 (2 years ago)
PAC ID
4082153358
Group Practice PAC ID
0345574737
Professional Enrollment ID
I20240830000203
Address ID
AR724014356JO1150XAVEX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for MRS. ASHTIN MARIE BURGESS (PMHNP-BC)

  • 704 MANSON RD

    POCAHONTAS, AR 724559752

    Phone: (870) 810-2539

    Type: Mailing

  • 1150 E MATTHEWS AVE STE A

    JONESBORO, AR 724014346

    Phone: (870) 243-0424

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $128.

Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($42).

Total Amount

$128

General + Research + Ownership

Payments

6

Total payment records

General Amount

$128

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240830000203INurse PractitionerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72455)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345574737View full group profile
NameSpecialtyState
P S Y C H I A T R YMO
Nurse PractitionerAR
Mental Health CounselorAR
Clinical Social WorkerAR
Nurse PractitionerAR
Nurse PractitionerAR
General SurgeryAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

Can I verify MRS. ASHTIN MARIE BURGESS (PMHNP-BC) with an NPI only?
You can start verification with NPI 1093550741 for MRS. ASHTIN MARIE BURGESS (PMHNP-BC), then check state licensing separately.
Is MRS. ASHTIN MARIE BURGESS (PMHNP-BC) still practicing?
MRS. ASHTIN MARIE BURGESS (PMHNP-BC) is currently listed as active in the public NPI registry.
What is MRS. ASHTIN MARIE BURGESS (PMHNP-BC) best known for clinically?
Directory data describes MRS. ASHTIN MARIE BURGESS (PMHNP-BC) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. ASHTIN MARIE BURGESS (PMHNP-BC)?
MRS. ASHTIN MARIE BURGESS (PMHNP-BC)'s geographic hint is Pocahontas, Arkansas in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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