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

Mr. Jason Burnham

Individual provider Pediatric Nurse Practitioner · NPI 1144061748

Mr. Jason Burnham is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2024, 2 years ago. Practices with University Pediatric Associates Inc, a 104-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
2
Licensed in
IN
In the registry since
2024
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Practice location Address checks out

699 Riley Hospital Dr Ste 232
Indianapolis, IN 46202-5119
Phone: (317) 944-2563
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 71015284A (IN)

Record details

NPI number1144061748
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 5, 2024
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026
Mailing addressPo Box 713577, Chicago, IL 60677-0403

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice University Pediatric Associates Inc — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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