Individual provider Active NPI

Bisi Burks, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Hopkins, MN
National Provider Identifier
1174356984
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
12016 Issued in MN
Practice address
5916 Carter LN
Hopkins, MN 55343-8966
Phone
(762) 567-9229
NPI assigned
Aug 26, 2024
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 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 12016 MN Primary

Addresses

Primary practice location

5916 Carter LN
Hopkins, MN 55343-8966

Mailing address

5916 Carter LN
Hopkins, MN 55343-8966
Phone (763) 567-9229

Other practice location 1

5100 Edina Industrial Blvd Ste 231F
Edina, MN 55439-3003
Phone (763) 567-9229 ext. 66195

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
I20251016002400 MN Practitioner - Nurse Practitioner 9234626805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5100 Edina Industrial Blvd
Suite 231F
Edina, MN 55439-3003
Phone (763) 567-9229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12016MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doldot Care LLC Psychiatric/Mental Health CurrentSince Oct 2, 2025 Accepting new patients
Serenitymind Clinic LLC Psychiatric/Mental Health PastSince Jul 1, 2025 Accepting new patients
Top Health Center Past Accepting new patients

Locations

5100 Edina Industrial Blvd
Ste 231F
Edina, MN 55439
Phone (651) 237-3319

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1174356984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5916 CARTER LN",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553438966",
            "telephone_number": "763-567-9229",
            "fax_number": "651-846-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5916 CARTER LN",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553438966",
            "telephone_number": "762-567-9229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5100 Edina Industrial Blvd Ste 231F",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554393003",
            "country_code": "US",
            "telephone_number": "763-567-9229 x66195",
            "fax_number": "651-846-6195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKS",
        "first_name": "BISI",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "12016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkins, MN

Sources for this page

Verify at the official NPI Registry.