AUTUMN BURNS – Family Nurse Practitioner, NPI 1972143352

AUTUMN BURNS is a healthcare provider. based in Northford, Connecticut. specializing in NURSE PRACTITIONER. They hold a License No. 8696 (CT). The NPI Number for AUTUMN BURNS is 1972143352

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
AUTUMN BURNS
NPI
1972143352
Phone
Not provided
Address
84 OXBOW LN
Enumeration Date
13 January 2020
Last Update Date
13 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8607776977
Graduation Year
2019 (7 years ago)
PAC ID
7416369533
Group Practice PAC ID
7618242777
Professional Enrollment ID
I20201215000876
Address ID
CT060014357AV385XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

4,196 NURSE PRACTITIONER in CT

Provider Addresses for AUTUMN BURNS

  • 84 OXBOW LN

    NORTHFORD, CT 064721117

    Phone:

    Type: Mailing

  • 20 YORK ST

    NEW HAVEN, CT 065103220

    Phone: (203) 812-9380

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-12-15

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
I20201215000876INurse PractitionerCTTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3130$0
99203New patient office or other outpatient visit, 30-44 minutes1515$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)1313$0
View full utilization report →

Insurance plans in this area (ZIP 06472)

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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: 7618242777View full group profile
NameSpecialtyState
Physician AssistantCT
Physician AssistantCT
Physician AssistantCT
Nurse PractitionerCT
-CT
Nurse PractitionerMA
Emergency MedicineCT
Nurse PractitionerRI
Nurse PractitionerNY
Nurse PractitionerCT

Reviews

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Frequently asked questions

What identifier follows AUTUMN BURNS across health systems?
The NPI 1972143352 uniquely identifies AUTUMN BURNS in U.S. healthcare data.
Is AUTUMN BURNS currently accepting referrals based on NPI status?
Registry metadata lists AUTUMN BURNS as active.
What services align with AUTUMN BURNS's listing?
AUTUMN BURNS's public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is AUTUMN BURNS tied to Northford, Connecticut?
If you are local to Northford, Connecticut, AUTUMN BURNS may be relevant to your search.
Can I export AUTUMN BURNS's record?
You can download the official NPPES record; we summarize key fields for readability.

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