Nancy Marie Burgess, ANPC
Nurse Practitioner, Family in Medford, OR. Individual provider (NPI-1).
NPI number1245308832
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1245308832
- Entity type
- Individual (NPI-1)
- Name
- Nancy Marie Burgess
- Credential
- ANPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 1, 2006
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 200750134NP | OR | Yes |
| 163W00000X | Registered Nurse | 649948 | TX |
Practice location
3617 S Pacific HwyMedford, OR 97501-8957
Phone 541-535-6239 · Fax 541-512-1026
Mailing address
3617 S Pacific HwyMedford, OR 97501-8957
Phone 541-535-6239 · Fax 541-512-1026
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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