MRS. STACEY ELIZABETH BURMEISTER – Surgery Physician, NPI 1588656003
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
377 GENERAL SURGERY in IA
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Provider Addresses for MRS. STACEY ELIZABETH BURMEISTER
Methodist Jennie Edmundson Hospital, 933, East Pierce Street, Council Bluffs, Pottawattamie County, Iowa, 51503, United States
SUITE 206
COUNCIL BLUFFS, IA 515034626
Phone: (712) 396-7460
Fax: (712) 396-7465
Type: Mailing
Council Bluffs, Pottawattamie County, Iowa, United States
SUITE 206
COUNCIL BLUFFS, IA 515034643
Phone: (712) 396-7460
Fax: (712) 396-7465
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: 2004-11-17
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 |
|---|---|---|---|---|
| I20041117001078 | I | General Surgery | IA | 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 51503)
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