Individual provider Active NPI

Kimberlee Burckart, MD

  • Family Medicine Physician
  • Cresco, IA
National Provider Identifier
1093378754
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-50109 Issued in IA
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

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
900014495MedicaidCO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220722002543 IA Practitioner - Family Practice 1052654456 Reassigns benefits to 2 organizations

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 CountyGroup PAC ID 1153238977, shared by 10 NPIs, 27 clinicians

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 Hospital, Cresco, IA, CCN 161328
  • Evans Senior Living Community Nursing home, Cresco, IA, CCN 165491
  • Regional Health Services of Howard County Nursing home, CCN 16Z328

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0065129COMDFamily Medicine Physician
MD-50109IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services of Howard County Current Accepting new patients
Regional Health Services of Howard County CurrentSince Jul 1, 2022 Accepting new patients
Regional Health Services of Howard County CurrentSince Jul 1, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.