Kyle D Busack, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

11165 Issued in MN

Practice address

200 1St St SW
Rochester, MN 55905-0001

Phone

(507) 284-2511

NPI assigned

Aug 2, 2012

Last updated

Oct 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN, WI, IA3 enrollments

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 3

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mayo ClinicGroup PAC ID 6507778255, 4,829 clinicians

Osceola Community Hospital IncGroup PAC ID 5799692372, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Murray County Memorial Hospital Hospital, Slayton, MN, CCN 241319
• Osceola Community Hospital Hospital, Sibley, IA, CCN 161345

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kyle.busack@avera.sdhealthlink.net

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.

• Osceola Community Hospital Inc.

  dba Osceola Regional Health Center

  • Critical Access Hospital
  • Sibley, IA
  • NPI 1780751222
  Medicare reassignment Care Compare group NPD
• Mayo Clinic

  • Multi-Specialty Clinic/Center
  • Rochester, MN
  • NPI 1922074434
  Medicare reassignment Care Compare group NPD (past)
• County of Murray

  dba Murray County Clinic

  • Clinic/Center
  • Slayton, MN
  • NPI 1679565287
  Medicare reassignment NPD
• Hegg Memorial Hospital

  dba Hegg Medical Clinic

  • Family Medicine Physician
  • Rock Valley, IA
  • NPI 1629023429
  Medicare reassignment NPD
• Hegg Memorial Hospital

  • Critical Access Hospital
  • Rock Valley, IA
  • NPI 1730182569
  Medicare reassignment NPD
• Mayo Clinic Health System-Southwest Wisconsin Region, Inc.

  dba Mayo Clinic Health System - La Crosse

  • Multi-Specialty Clinic/Center
  • La Crosse, WI
  • NPI 1629056049
  Medicare reassignment NPD
• Regional Health Services of Howard County

  • Critical Access Hospital
  • Cresco, IA
  • NPI 1730283326
  Medicare reassignment NPD
• County of Murray

  dba Murray County Memorial Hospital

  • Critical Access Hospital
  • Slayton, MN
  • NPI 1053497214
  Medicare reassignment
• Avera McKennan

  dba Avera Medical Group Womens Health Specialists Sioux Falls

  • Obstetrics & Gynecology Physician
  • Sioux Falls, SD
  • NPI 1336111962

  IA

  Medicare reassignment
• Floyd County Memorial Hospital Commission

  dba Floyd County Hosp ER Physicians

  • Emergency Medicine Physician
  • Charles City, IA
  • NPI 1346210408
  Medicare reassignment
• Mayo Clinic Health System-Northwest Wisconsin Region, Inc.

  dba Mayo Clinic Health System in Eau Claire

  • Multi-Specialty Clinic/Center
  • Eau Claire, WI
  • NPI 1235588831
  Medicare reassignment
• Mayo Clinic

  • Clinical Medical Laboratory
  • Rochester, MN
  • NPI 1083249577
  NPD

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

• County of Murray

  dba Murray County Memorial Hospital

  • Critical Access Hospital
  • Slayton, MN
  • NPI 1053497214
  Care Compare affiliation
• Osceola Community Hospital Inc.

  dba Osceola Regional Health Center

  • Critical Access Hospital
  • Sibley, IA
  • NPI 1780751222
  Care Compare affiliation

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1609122126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSACK",
        "first_name": "KYLE",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-02",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "11165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbusack32603@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "200 1st St SW",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559050001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kauri Rebecca Burton
• Kirstin Burton, CMT, NTP
• Mary Caroline Burton, M.D,
• Sharon Steele Burton, M.D.
• Seth M Buryska
• Ashley M Busch, NP
• Joel Joseph Busch, CNP
• Bradley Thomas Busebee, MD
• Hannah Busebee
• Samantha Buseman

• Physician Assistant in Rochester, MN
• Providers in Rochester, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.

Verify at the official NPI Registry.