Active NPI
Kimberlee Burckart, MD
- Family Medicine Physician
- Cresco, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD-50109
- Practice address
- 321 8TH Ave W
Cresco, IA 52136-1064 - Phone
- (563) 547-2022
- Fax
- (563) 547-3448
- NPI assigned
- Apr 18, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DR.0065129 | CO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | TL.0007850 | CO | |
| Family Medicine Physician | 207Q00000X | MD-50109 | IA | Primary |
Addresses
Primary practice location
321 8TH Ave W
Cresco, IA 52136-1064
Mailing address
321 8TH Ave W
Cresco, IA 52136-1064
Phone (563) 547-2022
Other practice location 1
1600 23rd Ave
Greeley, CO 80634-6070
Phone (970) 810-2815
Other practice location 2
615 Fairhurst St
Sterling, CO 80751-4523
Phone (970) 521-3223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900014495 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regional Health Services of Howard County
Practice addresses (Care Compare)
235 8TH Ave W
Cresco, IA 52136-1062
Phone (563) 547-2101
321 8TH Ave W
Cresco, IA 52136-1064
Phone (563) 547-2021
Hospital & facility affiliations
- Regional Health Services of Howard County
- Evans Senior Living Community
- Regional Health Services of Howard County
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0065129 | CO | MD | Family Medicine Physician |
| MD-50109 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Health Services of Howard County | Current | Accepting new patients | |
| Regional Health Services of Howard County | Current | Accepting new patients | |
| Regional Health Services of Howard County | Current | Accepting new patients |
Locations
235 8th Ave W
Cresco, IA 52136
Phone (319) 547-2101
321 8th Ave W
Cresco, IA 52136
Phone (563) 547-2021
Interoperability endpoints
- kimberlee.burckart@avera.sdhealthlink.net
Organizations & group practices 3
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.
-
- Critical Access Hospital
- Cresco, IA
- NPI 1417991316
-
- Critical Access Hospital
- Cresco, IA
- NPI 1730283326
-
- Rural Health Clinic/Center
- Elma, IA
- NPI 1104440809
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Cresco, IA
- NPI 1093708141
Nursing home
-
- Critical Access Hospital
- Cresco, IA
- NPI 1417991316
-
- Medicare Defined Swing Bed Hospital Unit
- Cresco, IA
- NPI 1821030339
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1093378754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 8TH AVE W",
"city": "CRESCO",
"state": "IA",
"postal_code": "521361064",
"telephone_number": "563-547-2022",
"fax_number": "563-547-3448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 8TH AVE W",
"city": "CRESCO",
"state": "IA",
"postal_code": "521361064",
"telephone_number": "563-547-2022",
"fax_number": "563-547-3448"
}
],
"practiceLocations": [
{
"address_1": "1600 23rd Ave",
"address_purpose": "LOCATION",
"city": "Greeley",
"state": "CO",
"postal_code": "806346070",
"country_code": "US",
"telephone_number": "970-810-2815",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "615 Fairhurst St",
"address_purpose": "LOCATION",
"city": "Sterling",
"state": "CO",
"postal_code": "807514523",
"country_code": "US",
"telephone_number": "970-521-3223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURCKART",
"first_name": "KIMBERLEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-18",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0065129",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CO",
"license": "TL.0007850",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "MD-50109",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "900014495",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cresco, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.
- 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.