MAXWELL BURKETT – Physician Assistant, NPI 1487044681

MAXWELL BURKETT is a healthcare provider. based in Ann arbor, Michigan. specializing in PHYSICIAN ASSISTANT. They hold a License No. 5601007199 (MI). The NPI Number for MAXWELL BURKETT is 1487044681

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MAXWELL BURKETT
NPI
1487044681
Phone
(734) 747-6766
Address
24 FRANK LLOYD WRIGHT DR
Enumeration Date
27 January 2015
Last Update Date
27 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2014 (12 years ago)
PAC ID
7618221987
Group Practice PAC ID
4688778228
Professional Enrollment ID
I20181127000312
Address ID
MI481924668WY2333XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for MAXWELL BURKETT

  • 24 FRANK LLOYD WRIGHT DR

    PO BOX 0446 - LOBBY J

    ANN ARBOR, MI 481059484

    Phone: (734) 747-6766

    Type: Mailing

  • 5301 E HURON RIVER DR

    YPSILANTI, MI 481971051

    Phone: (734) 712-8676

    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: 2018-11-27

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
I20181127000312IPhysician AssistantMITBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes178169$0
View full utilization report →

Insurance plans in this area (ZIP 48105)

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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: 4688778228View full group profile
NameSpecialtyState
Family PracticeMI
Internal MedicineMI
Emergency MedicineMI
Family PracticeMI
Physician AssistantMI
Family PracticeMI
Emergency MedicineMI
Nurse PractitionerMI
Nurse PractitionerMI
Physician AssistantMI

Reviews

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Frequently asked questions

How do payers reference MAXWELL BURKETT?
For MAXWELL BURKETT, use NPI 1487044681 as the unique 10-digit identifier.
Is MAXWELL BURKETT shown as active in public data?
Registry records indicate MAXWELL BURKETT maintains an active NPI.
What expertise is attributed to MAXWELL BURKETT?
MAXWELL BURKETT's specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MAXWELL BURKETT associated with Ann Arbor?
Public fields place MAXWELL BURKETT around Ann Arbor, Michigan. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MAXWELL BURKETT is noted as January 27, 2015 where the registry provides it.

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