Individual provider Active NPI

Cassy Kay Burton

  • Psychiatric/Mental Health Nurse Practitioner
  • Mankato, MN
National Provider Identifier
1003561234
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9011 Issued in MN
Practice address
1400 Madison Ave Ste 352
Mankato, MN 56001-4458
Phone
(507) 387-3195
NPI assigned
Feb 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9011 MN Primary

Addresses

Primary practice location

1400 Madison Ave Ste 352
Mankato, MN 56001-4458

Mailing address

1112 W River Dr
Mankato, MN 56001-1733
Phone (507) 822-6472

Other practice location 1

2355 Highway 36 W Ste 400
Roseville, MN 55113-3905
Phone (612) 662-8761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220311002298 MN Practitioner - Nurse Practitioner 2668867524 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mankato Clinic LTD 243 clinicians

Practice addresses (Care Compare)

1230 Main St E
PO Box 8674
Mankato, MN 56002-8674
Phone (507) 625-1811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9011MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Feb 2, 2024 Accepting new patients
Mankato Clinic LTD CurrentSince Apr 1, 2022 Accepting new patients

Locations

1400 Madison Ave
Ste 352
Mankato, MN 56001
Phone (507) 387-3195

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

Interoperability endpoints

  • Direct secure messaging: cassyburton@mklt.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1003561234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 W RIVER DR",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560011733",
            "telephone_number": "507-822-6472",
            "fax_number": "231-440-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MADISON AVE STE 352",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014458",
            "telephone_number": "507-387-3195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2355 Highway 36 W Ste 400",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MN",
            "postal_code": "551133905",
            "country_code": "US",
            "telephone_number": "612-662-8761",
            "fax_number": "231-440-9384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURTON",
        "first_name": "CASSY",
        "middle_name": "KAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "9011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.