Mrs Kimberly Dawn Bursch-tewalt, NP-C in Buffalo, MN

Mrs Kimberly Dawn Bursch-tewalt, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Buffalo, Minnesota. Her current practice location is 755 Crossroads Campus Dr Ne Ste 100, Buffalo, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 684-6300.

Mrs Kimberly Dawn Bursch-tewalt is licensed to practice in Minnesota (license number 7549) 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 1447857669.

Contact Information

	Mrs Kimberly Dawn Bursch-tewalt, NP-C
	755 Crossroads Campus Dr Ne Ste 100, Buffalo, MN 55313-5074
	(763) 684-6300
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kimberly Dawn Bursch-tewalt
Gender	Female
Speciality	Nurse Practitioner - Family
Location	755 Crossroads Campus Dr Ne Ste 100, Buffalo, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447857669
Provider Enumeration Date: 10/01/2020
Last Update Date: 06/04/2025

Medicare PECOS Information:

PECOS PAC ID: 3870989684
Enrollment ID: I20220404002481

Medical Identifiers

Medical identifiers for Mrs Kimberly Dawn Bursch-tewalt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447857669	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	7549 (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. Mrs Kimberly Dawn Bursch-tewalt allows following entities to bill medicare on her behalf.

Entity Name	Centracare Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293

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. Mrs Kimberly Dawn Bursch-tewalt 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
Mrs Kimberly Dawn Bursch-tewalt, NP-C 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000	Mrs Kimberly Dawn Bursch-tewalt, NP-C 755 Crossroads Campus Dr Ne Ste 100, Buffalo, MN 55313-5074 Ph: (763) 684-6300

Reviews and Comments

Nurse Practitioner Nurses in Buffalo, MN

Erin Elizabeth Nelson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 Catlin St, Buffalo, MN 55313 Phone: 763-682-5225
Jessica Lee Stageberg, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 755 Crossroads Campus Dr Ne, Buffalo, MN 55313 Phone: 763-684-6300
Mr. Wade D Crews, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 755 Crossroads Campus Dr Ne Ste 100, Buffalo, MN 55313 Phone: 763-684-6300 Fax: 763-684-6305
Carol Jean Averbeck, RN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1164 30th St Se, Buffalo, MN 55313 Phone: 763-682-6716
Jacquelyn Newell, DNP, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 755 Crossroads Campus Dr Ne, Buffalo, MN 55313 Phone: 763-684-6300
Brenda Kay Lenz, PHD, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 755 Crossroads Campus Dr Ne, Buffalo, MN 55313 Phone: 763-684-6300 Fax: 763-684-6305
Joella Kate Korpi, DNP, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 902 2nd Ave S, Buffalo, MN 55313 Phone: 906-869-4623

Mrs Kimberly Dawn Bursch-tewalt, NP-C - Medicare Nurse Practitioner in Buffalo, MN