JENNIFER BURNHAM – Nurse Practitioner, NPI 1184028656

JENNIFER BURNHAM is a healthcare provider. based in Marshall, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704241030 (MI). The NPI Number for JENNIFER BURNHAM is 1184028656

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER BURNHAM
NPI
1184028656
Phone
(269) 781-3938
Address
215 E MANSION ST STE 1E
Enumeration Date
13 October 2014
Last Update Date
16 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2697898272
Graduation Year
2014 (12 years ago)
PAC ID
2567683790
Group Practice PAC ID
1254228745
Professional Enrollment ID
I20141031000655
Address ID
MI490681167MA215XXSTXX428
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for JENNIFER BURNHAM

  • 215 E MANSION ST STE 1E

    MARSHALL, MI 490681167

    Phone: (269) 781-3938

    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: 2014-10-31

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
I20141031000655INurse PractitionerMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes14388$0
99213Established patient office or other outpatient visit, 20-29 minutes13498$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6767$0
G0444Annual depression screening, 5 to 15 minutes3838$0
99497Advance care planning, first 30 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 49068)

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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: 1254228745View full group profile
NameSpecialtyState
Nurse PractitionerMI
Family PracticeMI
G A S T R O E N T E R O L O G YMI
-MI
General SurgeryMI
Nurse PractitionerMI
Physician AssistantMI
-MI
-MI
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for JENNIFER BURNHAM?
JENNIFER BURNHAM — NPI 1184028656 — is the standard way to identify this listing.
Does the file indicate JENNIFER BURNHAM is practicing under active NPI?
Directory data currently reports JENNIFER BURNHAM as active.
What is JENNIFER BURNHAM best known for clinically?
Directory data describes JENNIFER BURNHAM with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect JENNIFER BURNHAM on a map?
Expect Marshall, Michigan as a primary anchor for JENNIFER BURNHAM unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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