Burnsville Surgery Center, P.a.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BURNSVILLE SURGERY CENTER, P.A.

Practice address

14551 County Road 11 Ste 110
Burnsville, MN 55337-4788

Phone

(952) 222-1818

Fax

(952) 222-1817

NPI assigned

Jun 26, 2018

Organization subpart

No

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

Authorized official

Name

Andrew Will, MDNPI 1215997168

Title

Medical Director

Phone

(952) 841-2345

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Listed as

Burnsville Surgery CenterCCN 24C0001103

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew J. Will, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Edina, MN
  • NPI 1215997168
  Medicare reassignment NPD Authorized official
• Joshua Daniel Brogan, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Burnsville, MN
  • NPI 1659995256
  Medicare reassignment NPD
• Gregory Crewdson, DO

  • Interventional Pain Medicine Physician
  • Maplewood, MN
  • NPI 1144647132
  Medicare reassignment NPD
• Sherri Haas, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Edina, MN
  • NPI 1366686370
  Medicare reassignment NPD
• Anne Kokayeff, M.D.

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Woodbury, MN
  • NPI 1053516443
  Medicare reassignment NPD
• Travis G O'Brien, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Saint Paul, MN
  • NPI 1124466222
  Medicare reassignment NPD
• Andrew John Pisansky, MD, MS

  • Pain Medicine (Anesthesiology) Physician
  • Maple Grove, MN
  • NPI 1730562364
  Medicare reassignment NPD
• Vincent Yaccarino, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Burnsville, MN
  • NPI 1851852008
  Medicare reassignment

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1225523970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 OHMS LN STE 150",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392172",
            "telephone_number": "952-841-2345",
            "fax_number": "952-841-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14551 COUNTY ROAD 11 STE 110",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374788",
            "telephone_number": "952-222-1818",
            "fax_number": "952-222-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNSVILLE SURGERY CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "WILL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "952-841-2345",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burnsville Dental, P.a.
• Burnsville Eye Clinic LLC
• Burnsville Family Chiropractic
• Burnsville Family Physicians, P.a.
• Burnsville Orthodontic Associates PLLC
• Annie L Burton, MD
• Shanmeka Burton
• Chandra Jo Bushard, MA CCC SLP
• Andrea Bushaw, NP
• Bushman Psychological Services LLC

• Ambulatory Surgical Clinic/Center in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Ambulatory Surgical Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.