Jill Anne Burgholzer, CRNP-PMH - Medicare Nurse Practitioner in Stevensville, MD

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Jill Anne Burgholzer, CRNP-PMH is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Stevensville, Maryland. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Luminis Health Medical Group, Llc, University Of Maryland Community Medical Group Inc, Center For Eating Disorders Pa, Medstar Medical Group Ii Llc and her current practice location is 112 Saint Claire Pl Ste 202, Stevensville, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 200-6920.

Jill Anne Burgholzer is licensed to practice in District Of Columbia (license number 1050971) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538440862.

Contact Information

Jill Anne Burgholzer, CRNP-PMH
112 Saint Claire Pl Ste 202,
Stevensville, MD 21666-2193
(410) 200-6920
Not Available

Map and Direction




Provider's Profile

Full NameJill Anne Burgholzer
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location112 Saint Claire Pl Ste 202, Stevensville, Maryland
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jill Anne Burgholzer graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1538440862
  • Provider Enumeration Date: 08/31/2011
  • Last Update Date: 09/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2365698214
  • Enrollment ID: I20120808000363

Medical Identifiers

Medical identifiers for Jill Anne Burgholzer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538440862NPI-NPPES
R968OtherMDCAREFIRST NATIONAL
522156095OtherMDCOMMERCIAL
609550002MedicaidMD
LM49EAOtherMDCAREFIRST BCBS-LOCAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health R181825 (Maryland)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 0024176704 (Virginia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 1050971 (District Of Columbia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Umd Shore Medical Center At EastonEaston, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Luminis Health Medical Group, Llc2860447315437
University Of Maryland Community Medical Group Inc3678472214361
Center For Eating Disorders Pa731583257314
Medstar Medical Group Ii Llc05474138251790

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jill Anne Burgholzer allows following entities to bill medicare on her behalf.
Entity NameSinai Hospital Of Baltimore, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043235666
PECOS PAC ID: 0941112346
Enrollment ID: O20031104000353
Entity NameUniversity Of Maryland Community Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477530624
PECOS PAC ID: 3678472214
Enrollment ID: O20040102000687
Entity NameSheppard Pratt Physicians Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518990712
PECOS PAC ID: 8224937610
Enrollment ID: O20040105000737
Entity NameCenter For Eating Disorders Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659484400
PECOS PAC ID: 7315832573
Enrollment ID: O20040217000459
Entity NameLuminis Health Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073580205
PECOS PAC ID: 2860447315
Enrollment ID: O20050317000146
Entity NameGrace Medical Center Inc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1104151091
PECOS PAC ID: 0446216832
Enrollment ID: O20100215000024
Entity NamePeace Of Mind Mental Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952715161
PECOS PAC ID: 6103047436
Enrollment ID: O20141029002314

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jill Anne Burgholzer is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jill Anne Burgholzer, CRNP-PMH
112 Saint Claire Pl Ste 202,
Stevensville, MD 21666-2193

Ph: (410) 200-6920		Jill Anne Burgholzer, CRNP-PMH
112 Saint Claire Pl Ste 202,
Stevensville, MD 21666-2193

Ph: (410) 200-6920

Reviews and Comments


Nurse Practitioner Nurses in Stevensville, MD

Courtney Freimuth, CRNP-PC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 165 Log Canoe Cir Ste E, Stevensville, MD 21666
Phone: 410-643-1000    
Jaime Anne Schell, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 165 Log Canoe Cir Ste E, Stevensville, MD 21666
Phone: 410-643-1000    
Ms. Gloria Linsalata, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 115 Sallitt Dr Ste A, Stevensville, MD 21666
Phone: 410-643-8000    Fax: 410-643-8006

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.