JENNIFER BURLINGAME (D.O.) – Family Medicine Physician, NPI 1003110552

JENNIFER BURLINGAME (D.O.) is a healthcare provider. based in Warren, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 5101019063 (MI). The NPI Number for JENNIFER BURLINGAME (D.O.) is 1003110552

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER BURLINGAME (D.O.)
NPI
1003110552
Phone
(586) 582-7550
Address
27450 SCHOENHERR RD
Enumeration Date
27 December 2010
Last Update Date
27 December 2010

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5865827550
Graduation Year
2010 (16 years ago)
PAC ID
0941425110
Group Practice PAC ID
7315859725
Professional Enrollment ID
I20140701001594
Address ID
MI480886684WA27450RDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

Provider Addresses for JENNIFER BURLINGAME (D.O.)

  • 27450 SCHOENHERR RD

    STE. 400

    WARREN, MI 480886683

    Phone: (586) 582-7550

    Fax: (586) 582-7515

    Mailing address matches the actual address.

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: 2014-07-01

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
I20140701001594IFamily PracticeMITBD

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 48088)

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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: 7315859725View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
-MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Orthopedic SurgeryMI
Certified Registered Nurse Anesthetist (Crna)MI
-MI
Cardiovascular Disease (Cardiology)NC
Cardiovascular Disease (Cardiology), Internal MedicineIN
N E U R O L O G YMI

Reviews

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Frequently asked questions

What unique ID ties claims to JENNIFER BURLINGAME (D.O.)?
NPI 1003110552 is assigned to JENNIFER BURLINGAME (D.O.) under the national enumeration system.
Is JENNIFER BURLINGAME (D.O.)'s NPI currently valid?
The extract we use shows JENNIFER BURLINGAME (D.O.) as active.
What field does JENNIFER BURLINGAME (D.O.) work in?
You can think of JENNIFER BURLINGAME (D.O.) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for JENNIFER BURLINGAME (D.O.)?
The page summarizes Warren, Michigan for JENNIFER BURLINGAME (D.O.); expand the address list for detail.
Is JENNIFER BURLINGAME (D.O.) a real provider?
This page reflects official NPPES data for NPI 1003110552. Always confirm identity and privileges with the practice and licensing boards.

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