JACKLYNN M BURK (MSN, FPMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1548916489
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,023 NURSE PRACTITIONER in MO
Provider Addresses for JACKLYNN M BURK (MSN, FPMHNP)
155 Corporate Pl
Branson, MO 656169136
Phone: (417) 761-5950
Type: Location
718 Harvest Hills Dr
Carrollton, MO 646332412
Phone: (877) 344-3572
Fax: (866) 228-4492
Type: Location
324 S Hudson St
Buckner, MO 640168142
Phone: (877) 344-3572
Fax: (866) 228-4492
Type: Location
811 S Business Highway 13 Ste A
Lexington, MO 640671572
Phone: (877) 344-3572
Fax: (866) 228-4492
Type: Location
800 S Park Ave
Springfield, MO 658024855
Phone: (417) 893-7735
Type: Location
206 N Bismark St Ste A
Concordia, MO 640208101
Phone: (877) 344-3572
Fax: (866) 228-4492
Type: Location
18593 Business 13 Ste 104-106
Branson West, MO 657379659
Phone: (417) 761-5271
Type: Location
1805 E Walnut St
Columbia, MO 652016425
Phone: (573) 777-8330
Type: Location
608 Missouri St
Waverly, MO 640968241
Phone: (877) 344-3572
Fax: (866) 228-4492
Type: Location
3401 Berrywood Dr
Columbia, MO 652018372
Phone: (573) 777-8330
Type: Location
1300 E BRADFORD PKWY
SPRINGFIELD, MO 658044264
Phone: (417) 761-5000
Fax: (417) 761-5011
Type: Mailing
17844 E 23RD ST S
INDEPENDENCE, MO 640571840
Phone: (816) 254-3652
Type: Location
2885 W BATTLEFIELD ST
SPRINGFIELD, MO 658073952
Phone: (417) 761-5000
Fax: (417) 761-5011
Type: Mailing
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: 2022-05-04
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 |
|---|---|---|---|---|
| I20220504000856 | I | Nurse Practitioner | MO | 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 | 84 | 24 | $0 |
Insurance plans in this area (ZIP 65616)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | MO | |
| P S Y C H I A T R Y | MO | |
| Mental Health Counselor | MO | |
| Psychiatry, Neuropsychiatry | MO | |
| - | TX | |
| - | MO | |
| - | MO | |
| Mental Health Counselor | MO | |
| Clinical Psychologist | MO | |
| Clinical Psychologist | MO |
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