JILL ANNE BURGHOLZER (CRNP-PMH) – Psychiatric/Mental Health Nurse Practitioner, NPI 1538440862

JILL ANNE BURGHOLZER (CRNP-PMH) is a healthcare provider. based in St michaels, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP-PMH. They hold a License No. R181825 (MD). The NPI Number for JILL ANNE BURGHOLZER (CRNP-PMH) is 1538440862

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
JILL ANNE BURGHOLZER (CRNP-PMH)
NPI
1538440862
Phone
(410) 215-5030
Address
PO BOX 455
Enumeration Date
31 August 2011
Last Update Date
3 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4104273900
Graduation Year
2012 (14 years ago)
PAC ID
2365698214
Group Practice PAC ID
7315832573
Professional Enrollment ID
I20120808000363
Address ID
MD212047700TO7601XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:14State licenses:3Digital endpointsOther names

6,815 NURSE PRACTITIONER in MD

Provider Addresses for JILL ANNE BURGHOLZER (CRNP-PMH)

  • PO BOX 455

    ST MICHAELS, MD 216630455

    Phone: (410) 215-5030

    Type: Mailing

  • 1113 HEALTHWAY DR.

    SALISBURY, MD 21804

    Phone: (410) 215-5030

    Type: Location

  • 112 SAINT CLAIRE PL STE 202

    STEVENSVILLE, MD 216662193

    Phone: (410) 200-6920

    Type: Mailing

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 $205.

Total Amount is formed as General ($205) + Research ($0) + Ownership ($0) = $205.

Last reported payment date: 2024-08-28 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($205).

Total Amount

$205

General + Research + Ownership

Payments

2

Total payment records

General Amount

$205

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-28

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: 2015-04-30

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20120808000363INurse PractitionerMDTBD
I20150430001583INurse PractitionerDCTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4636$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3516$0
View full utilization report →

Insurance plans in this area (ZIP 21663)

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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: 7315832573View full group profile

Reviews

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Frequently asked questions

How do I look up JILL ANNE BURGHOLZER (CRNP-PMH) by NPI?
Use NPI 1538440862 when you need to reference JILL ANNE BURGHOLZER (CRNP-PMH) in forms, claims, or directories.
Is JILL ANNE BURGHOLZER (CRNP-PMH) active in the national directory?
JILL ANNE BURGHOLZER (CRNP-PMH)'s public NPI profile is in an active state.
What kind of provider is JILL ANNE BURGHOLZER (CRNP-PMH)?
The page reflects Psychiatric/Mental Health Nurse Practitioner for JILL ANNE BURGHOLZER (CRNP-PMH). Clinical services aligned with this taxonomy classification.
Where does public data place JILL ANNE BURGHOLZER (CRNP-PMH)?
The snapshot lists St Michaels, Maryland for JILL ANNE BURGHOLZER (CRNP-PMH); download NPPES for the complete set.
How can I contact JILL ANNE BURGHOLZER (CRNP-PMH)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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