JENNIFER LEA BURNETT (NP) – Nurse Practitioner, NPI 1104475243

JENNIFER LEA BURNETT (NP) is a healthcare provider. based in Dayton, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. AP61002954 (WA). The NPI Number for JENNIFER LEA BURNETT (NP) is 1104475243

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER LEA BURNETT (NP)
NPI
1104475243
Phone
Not provided
Address
1012 S 3RD ST
Enumeration Date
11 September 2019
Last Update Date
11 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5098973000
Graduation Year
2019 (7 years ago)
PAC ID
3870926298
Group Practice PAC ID
2860552973
Professional Enrollment ID
I20191125002681
Address ID
WA993624116WA1025XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Loading map...

Provider Addresses for JENNIFER LEA BURNETT (NP)

  • Dayton General Hospital, 1012, South 3rd Street, Dayton, Columbia County, Washington, 99328, United States

    DAYTON, WA 993281696

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2019-11-25

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
I20191125002681INurse PractitionerWATBD

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 minutes519454$0
99213Established patient office or other outpatient visit, 20-29 minutes9997$0
99204New patient office or other outpatient visit, 45-59 minutes6666$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus2626$0
36415Insertion of needle into vein for collection of blood sample2525$0
View full utilization report →

Insurance plans in this area (ZIP 99328)

Loading plans...

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: 2860552973View full group profile
NameSpecialtyState
Emergency MedicineCO
Hospitalist, Internal MedicineUT
Nurse PractitionerWA
Occupational Therapist In Private PracticeWA
Internal Medicine, HospitalistID
N E U R O L O G YOR
Family PracticeWA
-WA
Emergency MedicineWA
Physical Therapist In Private PracticeWA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What identifier follows JENNIFER LEA BURNETT (NP) across health systems?
The NPI 1104475243 uniquely identifies JENNIFER LEA BURNETT (NP) in U.S. healthcare data.
Is JENNIFER LEA BURNETT (NP)'s NPI status active today?
Active status means JENNIFER LEA BURNETT (NP)'s NPI record is not deactivated in the public file.
What services align with JENNIFER LEA BURNETT (NP)'s listing?
JENNIFER LEA BURNETT (NP)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to JENNIFER LEA BURNETT (NP)?
JENNIFER LEA BURNETT (NP) shows a connection to Dayton, Washington in registry-derived data.
Why is information missing for JENNIFER LEA BURNETT (NP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

MRS. STEPHANIE J BENNETT (ARNP)

Family Nurse Practitioner
1000 SE TECH CENTER DR STE 120
NPI: 1376536706
Dayton General Hospital, 1012, South 3rd Street, Dayton, Columbia County, Washington, 99328, United States
NPI: 1376072553