ERIN HALE BURNETT (MD) – Maternal & Fetal Medicine Physician, NPI 1376744904
Maternal & Fetal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,540 OBSTETRICS/GYNECOLOGY in FL
Provider Addresses for ERIN HALE BURNETT (MD)
1232 King St
Jacksonville, FL 322044212
Phone: (904) 821-7556
Fax: (855) 707-1416
Type: Location
2 Shircliff Way Ste 600
Jacksonville, FL 322044762
Phone: (904) 821-7556
Fax: (855) 707-1416
Type: Location
653, West 8th Street, Jacksonville, Duval County, Florida, 32209, United States
JACKSONVILLE, FL 322096511
Phone: (904) 244-3112
Type: Location
653-1 W 8th St
Dept of ObGyn
Jacksonville, FL 322096511
Phone: (904) 244-3112
Type: Location
PO BOX 748817
ATLANTA, GA 303748817
Phone: (813) 286-0033
Fax: (813) 282-1806
Type: Mailing
2 SHIRCLIFF WAY STE 600
JACKSONVILLE, FL 322044762
Phone: (904) 821-7556
Fax: (855) 707-1416
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: 2014-07-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140730001692 | I | Obstetrics/Gynecology | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32204)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | MN | |
| Physician Assistant | FL | |
| Diagnostic Radiology | FL | |
| Internal Medicine | FL | |
| - | FL | |
| Clinical Psychologist | FL | |
| U R O L O G Y | FL | |
| - | FL | |
| Nurse Practitioner | FL |
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