Kimberly C Bourassa, DNP, APRN, PMHNP-BC in Bloomington, MN

Kimberly C Bourassa, DNP, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Bloomington, Minnesota. Her current practice location is 1801 American Blvd E, Bloomington, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 767-2267.

Kimberly C Bourassa is licensed to practice in Minnesota (license number 9071) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104590660.

Contact Information

	Kimberly C Bourassa, DNP, APRN, PMHNP-BC
	1801 American Blvd E, Bloomington, MN 55425-1232
	(952) 767-2267
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly C Bourassa
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1801 American Blvd E, Bloomington, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104590660
Provider Enumeration Date: 08/06/2021
Last Update Date: 10/30/2023

Medicare PECOS Information:

PECOS PAC ID: 8527434869
Enrollment ID: I20221012000665

Medical Identifiers

Medical identifiers for Kimberly C Bourassa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104590660	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	9071 (Minnesota)	Primary

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. Kimberly C Bourassa allows following entities to bill medicare on her behalf.

Entity Name	Fraser Child And Family Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609922194 PECOS PAC ID: 3971918772 Enrollment ID: O20210208002399

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. Kimberly C Bourassa 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 Address	Practice Location Address
Kimberly C Bourassa, DNP, APRN, PMHNP-BC 1801 American Blvd E, Bloomington, MN 55425-1232 Ph: () -	Kimberly C Bourassa, DNP, APRN, PMHNP-BC 1801 American Blvd E, Bloomington, MN 55425-1232 Ph: (952) 767-2267

Reviews and Comments

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Kimberly C Bourassa, DNP, APRN, PMHNP-BC - Medicare Nurse Practitioner in Bloomington, MN