Active NPI
Kristen N Burg, APNP, CRNA
- Certified Registered Nurse Anesthetist
- West Bend, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 6056
- Practice address
- 3200 Pleasant Valley Rd
West Bend, WI 53095-9274 - Phone
- (262) 836-7300
- Fax
- (262) 836-7301
- NPI assigned
- Jul 15, 2014
- Last updated
- Mar 31, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 6056 | WI | Primary |
Addresses
Primary practice location
3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Mailing address
3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone (262) 836-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073920708 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
125 Hospital Dr
Watertown, WI 53098-3303
Phone (920) 262-4784
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6056 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients |
Locations
10000 W Innovation Dr
Ste 300
Wauwatosa, WI 53226
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
840 N 87th St
Wauwatosa, WI 53226
Phone (414) 805-5540
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
3200 Pleasant Valley Rd
West Bend, WI 53095
Phone (262) 334-5533
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Watertown, WI
- NPI 1508501495
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Watertown Regional Medical Center
- General Acute Care Hospital
- Watertown, WI
- NPI 1992776041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1073920708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 PLEASANT VALLEY RD",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530959274",
"telephone_number": "262-836-7300",
"fax_number": "262-836-7301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 PLEASANT VALLEY RD",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530959274",
"telephone_number": "262-836-7300",
"fax_number": "262-836-7301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURG",
"first_name": "KRISTEN",
"middle_name": "N",
"credential": "APNP, CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "6056",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073920708",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Bend, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.