ANDREA BURNS – Surgical Physician Assistant, NPI 1104294099

ANDREA BURNS is a healthcare provider. based in Fort lauderdale, Florida. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA9108910 (FL). The NPI Number for ANDREA BURNS is 1104294099

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA BURNS
NPI
1104294099
Phone
(954) 355-4665
Address
1608 SE 3RD AVE
Enumeration Date
9 September 2015
Last Update Date
6 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9543554400
Graduation Year
2015 (11 years ago)
PAC ID
1153630116
Group Practice PAC ID
1658688304
Professional Enrollment ID
I20151014002360
Address ID
FL333162510FO1600XAVEX409
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for ANDREA BURNS

  • 1608 SE 3RD AVE

    THIRD FLOOR PBO

    FORT LAUDERDALE, FL 333162564

    Phone: (954) 355-4665

    Type: Mailing

  • 1625 SE 3RD AVE

    SUITE 300

    FORT LAUDERDALE, FL 333162521

    Phone: (954) 355-4665

    Fax: (954) 355-4881

    Type: Location

  • 1700 NW 49TH ST STE 125

    FORT LAUDERDALE, FL 333093750

    Phone: (954) 355-4665

    Fax: (954) 355-4881

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $679.

Total Amount is formed as General ($679) + Research ($0) + Ownership ($0) = $679.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ATRICURE, INC. ($284).

Total Amount

$679

General + Research + Ownership

Payments

8

Total payment records

General Amount

$679

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2015-10-14

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
I20151014002360IPhysician AssistantFLTBD

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 33316)

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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: 1658688304View full group profile

Reviews

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Frequently asked questions

What is the registry number for ANDREA BURNS?
The registry entry for ANDREA BURNS shows NPI 1104294099.
Is ANDREA BURNS currently accepting referrals based on NPI status?
Registry metadata lists ANDREA BURNS as active.
What services align with ANDREA BURNS's listing?
ANDREA BURNS's public classification highlights Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit ANDREA BURNS in Fort Lauderdale, Florida?
For routing, start with Fort Lauderdale, Florida for ANDREA BURNS, then verify phone and hours locally.
Can I export ANDREA BURNS's record?
You can download the official NPPES record; we summarize key fields for readability.

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