Provider profile

James BurnsMD

Internal Medicine

NPI 1225022080
101 Main St, Neenah, WI 54956920-727-4220

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Medicare Advantage plans for Winnebago County, WI.

Checked Oct 14, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

Listed on 10 Medicare Advantage plans for 2027

Carrier directories and Medicare.gov provider data list James on these plans. Review each plan's covered offices before enrolling. One directory didn't answer this time; we'll try it again.

The 48 Medicare Advantage plans we show for Winnebago County, WI in 2027

  • 10 list James
  • 22 not listed
  • 16 not checked yet

Anthem Blue Cross and Blue Shield

5 plans list James.

5plans
  • Anthem Veteran (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 101 Main St, Neenah, WI, 54956

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4.5 starsH4036-024-000Medicare.gov
    $0a month
  • Anthem Medicare Advantage (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 101 Main St, Neenah, WI, 54956

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH9525-006-000Medicare.gov
    $38a month
  • Anthem Medicare Advantage 3 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 101 Main St, Neenah, WI, 54956

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH4036-008-000Medicare.gov
    $84a month
  • Anthem Dual Advantage Plus (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 101 Main St, Neenah, WI, 54956

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH9525-028-000Medicare.gov
    $0a month

Wellcare

3 plans list James.

3plans
  • Wellcare Simple (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 101 Main St, Neenah, WI, 54956

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3 starsH8189-008-000Medicare.gov
    $0a month
  • Wellcare MHS Health Wisconsin Dual Liberty Sync (HMO-POS D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 101 Main St, Neenah, WI, 54956

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with Medicare and MedicaidDrug coverage3 starsH8189-001-000Medicare.gov
    $0a month
  • Wellcare MHS Health Wisconsin Dual Select (HMO-POS D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 101 Main St, Neenah, WI, 54956

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with Medicare and MedicaidDrug coverage3 starsH8189-007-000Medicare.gov
    $0a month

Molina Healthcare of Wisconsin

2 plans list James.

2plans
  • Molina My Choice Dual Advantage (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 101 Main St, Neenah, WI, 54956
    • 1506 S Oneida St, Appleton, WI, 54915
    • 3329 N Richmond St, Appleton, WI, 54911

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH5209-006-002Medicare.gov
    $0a month
  • Molina My Choice Partnership (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 101 Main St, Neenah, WI, 54956
    • 1506 S Oneida St, Appleton, WI, 54915
    • 3329 N Richmond St, Appleton, WI, 54911

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH5209-005-002Medicare.gov
    $0a month

Aetna Medicare

Not listed on its 2 plans here. That isn't proof they're out of network.

HealthPartners

Not listed on its 2 plans here. That isn't proof they're out of network.

Humana

Medicare.gov doesn't have provider data for these plans yet. We'll check again.

15 more Humana plans haven't been checked yet.

Network Health Medicare Advantage Plans

Medicare.gov doesn't have provider data for these plans yet. We'll check again.

1 more Network Health Medicare Advantage Plans plan hasn't been checked yet.

UnitedHealthcare

Not listed on its 11 plans here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether James takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

Compare Supplement plans

Practice location

101 Main St
Neenah, WI 54956

NPI Registry
NPI issued
2005
Registry record updated
Nov 6, 2012

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list James Burns?

In Winnebago County, WI, 10 Medicare Advantage plans for 2027 list James in provider data from Medicare.gov or the carrier, including Anthem Veteran (PPO), Anthem Medicare Advantage (HMO-POS) and Anthem Medicare Advantage 3 (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does James Burns take Anthem Blue Cross and Blue Shield Medicare Advantage plans?

Medicare.gov provider data lists James on 5 Medicare Advantage plans for 2027 in Winnebago County, WI, including Anthem Veteran (PPO) and Anthem Medicare Advantage (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Anthem Blue Cross and Blue Shield before you enroll.

Does James Burns take Wellcare Medicare Advantage plans?

Medicare.gov provider data lists James on 3 Medicare Advantage plans for 2027 in Winnebago County, WI, including Wellcare Simple (HMO-POS) and Wellcare MHS Health Wisconsin Dual Liberty Sync (HMO-POS D-SNP). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Wellcare before you enroll.

Does James Burns take Molina Healthcare of Wisconsin Medicare Advantage plans?

Medicare.gov provider data lists James on 2 Medicare Advantage plans for 2027 in Winnebago County, WI, including Molina My Choice Dual Advantage (HMO D-SNP) and Molina My Choice Partnership (HMO D-SNP). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Molina Healthcare of Wisconsin before you enroll.

Where does James Burns practice?

101 Main St, Neenah, WI 54956.

How do I confirm James is in my plan's network?

Call the member services number on your plan card and give them the NPI 1225022080, or ask a Silverpath advisor to check for you. It's free.

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A Silverpath advisor can confirm James's networks with the carrier and help you compare plans that include them.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for James Burns on 15 plans from Aetna Medicare, HealthPartners and UnitedHealthcare in Winnebago County, WI. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2012-11-06). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 14, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by James Burns or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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