Marisa Lynn Burdolski, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-81871-031 Issued in KS

Practice address

5900 Nieman Rd Ste 300
Shawnee, KS 66203-2906

Phone

(913) 515-7859

Fax

(877) 569-3050

NPI assigned

Jan 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2025 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FIBEDD/Endpoint/FIBEDD

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.

• Dew Aesthetics & Wellness, LLC.

  • Primary Care Nurse Practitioner
  • Shawnee, KS
  • NPI 1285433656
  NPD Authorized official
• KC Full Circle Midwifery & Family

  • Advanced Practice Midwife
  • Lenexa, KS
  • NPI 1174227011

  Family

  NPD (past)

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1033822333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 NIEMAN RD STE 300",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662032906",
            "telephone_number": "913-515-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 NIEMAN RD STE 300",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662032906",
            "telephone_number": "913-515-7859",
            "fax_number": "877-569-3050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5809 Aminda St",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "KS",
            "postal_code": "662267933",
            "country_code": "US",
            "telephone_number": "913-515-7859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURDOLSKI",
        "first_name": "MARISA",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-81871-031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Buchta
• Kolton Riley Buer, DC
• Chad Bulleigh, D.D.S.
• Donna Jean Burchfield, MS ED, OTRL
• Michelle Dianne Burchyett, LMLP
• Morgan Valerie Burgard, DDS
• Chaumila Burnam
• Todd C. Burris, DMD
• Joellen Burroughs
• Jane S Burrow-Branine, PA

• Family Nurse Practitioner in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.