MISS ELISABETH ANN BURNETT (APRN) – Family Nurse Practitioner, NPI 1053640615
Family Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MISS ELISABETH ANN BURNETT (APRN)
PO BOX 917770
ORLANDO, FL 328910001
Phone:
Type: Mailing
4001 E FLETCHER AVE
TAMPA, FL 336134808
Phone: (813) 396-0623
Type: Location
3515 E Fletcher Ave
Tampa, FL 336134706
Phone: (813) 821-8038
Type: Location
PO BOX 130459
TYLER, TX 757130459
Phone: (903) 531-2500
Fax: (903) 595-3785
Type: Mailing
Baylor Scott & White Texas Spine & Joint Hospital, 1814, Roseland Boulevard, Azalea Historic District, Tyler, Smith County, Texas, 75701, United States
SUITE 200
TYLER, TX 757014234
Phone: (903) 531-2500
Fax: (903) 595-3785
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $67.
Total Amount is formed as General ($67) + Research ($0) + Ownership ($0) = $67.
Last reported payment date: 2024-07-31 • Largest payer in this snapshot: Lilly USA, LLC ($38).
Total Amount
$67
General + Research + Ownership
Payments
2
Total payment records
General Amount
$67
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $38 |
| Life Molecular Imaging Ltd | $29 |
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: 2012-10-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121011000030 | I | Nurse Practitioner | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 41 | 27 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 32891)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | LA | |
| - | TX | |
| Pediatric Medicine, Pulmonary Disease | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Clinical Psychologist | WA | |
| P S Y C H I A T R Y | TX | |
| - | TX | |
| E N D O C R I N O L O G Y | TX | |
| - | TX |
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