JENNIFER BURGTORF – Primary Care Nurse Practitioner, NPI 1205202025
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JENNIFER BURGTORF
6640 MADISON ST
TAYLOR, MI 481801746
Phone: (734) 716-0148
Type: Mailing
19135 ALLEN RD
SUITE NUMBER 106
BROWNSTOWN TWP, MI 481836813
Phone: (734) 362-9032
Type: Location
9049 Bellevue Rd
Grosse Ile, MI 481381858
Phone: (734) 676-3373
Type: Location
25000 HALL RD
STE 1
WOODHAVEN, MI 481835112
Phone: (734) 676-3373
Type: Mailing
25000 HALL RD STE 1
WOODHAVEN, MI 481835112
Phone: (734) 676-3373
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 55 Open Payments records for all available years, with a total value of $824.
Total Amount is formed as General ($824) + Research ($0) + Ownership ($0) = $824.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Lilly USA, LLC ($296).
Total Amount
$824
General + Research + Ownership
Payments
55
Total payment records
General Amount
$824
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $296 |
| PFIZER INC. | $133 |
| ABBVIE INC. | $130 |
| Novo Nordisk Inc | $101 |
| Exact Sciences Corporation | $32 |
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: 2015-09-23
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 |
|---|---|---|---|---|
| I20150923002754 | I | Nurse Practitioner | MI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 33 | 24 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 13 | 13 | $0 |
Insurance plans in this area (ZIP 48180)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI |
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