Debra Lynn Busmann, NP-C
Individual provider Active NPI Family Nurse Practitioner · Tracy, MN
NPI 1487028684 · NPPES record last updated Nov 25, 2015
Key facts
- NPI
- 1487028684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CNP 4292 (MN)
- Practice address
- 249 5TH St E
Tracy, MN 56175-1536 - Phone
- (507) 629-3200
- NPI assigned
- Nov 25, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180104001857 | SD | Practitioner - Nurse Practitioner | 4385903996 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP 4292 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current |
Accepting new patients | |
| Avera McKennan | Current |
Accepting new patients | |
| Avera McKennan | Current | Accepting new patients |
Interoperability endpoints
- debra.busmann@avera.sdhealthlink.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP 4292 | MN | Yes |
Addresses
Primary practice location
249 5TH St E
Tracy, MN 56175-1536
Mailing address
1719 S Aberdeen Cir
Sioux Falls, SD 57106-3388
Phone (605) 941-2950
Other providers in Tracy, MN
- 3Rd Street Dental LLC
- Wilfredo P Apostol
- Avera Marshall
- Thomas A Bruns
- Kristy Marie Campbell
- Elishia Ann Christians
- Maggie Currie
- Angela Lee Deadrick
- Nicole Marie Deprez
All providers in Tracy, MN · Family Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.