Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacques Nicholas Burress

Individual provider Acute Care Nurse Practitioner · NPI 1255906392

Jacques Nicholas Burress is a Nurse Practitioner in Edgewood, Kentucky. Qualified in 2021, 5 years ago. Practices with Summit Medical Group Inc, a 799-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Kentucky.

Years since qualifying
5
Licensed in
IN, KY
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone: (859) 757-2927
Fax: (859) 341-0203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 830 Thomas More Pkwy, Fort Mitchell, KY 41017-5102 — (707) 344-4983

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3016302 (KY)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 3016302 (KY)
Nurse Practitioner Taxonomy 363L00000X · Licence 71014904A (IN)

Record details

NPI number1255906392
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 21, 2021
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024
Mailing addressPo Box 635283, Cincinnati, OH 45263-5283

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Edgewood