Ann Marie Busker, REGISTERED DIETITIAN
Individual provider Active NPI Registered Dietitian · Luverne, MN
NPI 1831663509 · NPPES record last updated Jul 27, 2022
Key facts
- NPI
- 1831663509
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2582 (MN)
- Practice address
- 1601 Sioux Valley Dr
Luverne, MN 56156-4500 - Phone
- (507) 449-1263
- NPI assigned
- Jan 16, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Medical Center
Practice addresses (Care Compare)
104 Buncombe Dr
Rock Rapids, IA 51246-1003
Phone (712) 472-3333
118 N 7TH Ave
Sheldon, IA 51201-1235
Phone (605) 328-8900
Hospital & facility affiliations
- Sanford Luverne Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IA, MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190507000505 | IA | Practitioner - Registered Dietitian Or Nutrition Professional | 3274875513 | Reassigns benefits to 2 organizations |
| I20220810000480 | MN | Practitioner - Registered Dietitian Or Nutrition Professional | 3274875513 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 084578 | IA | MD | Registered Dietitian |
| 2582 | MN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Clinic | Current |
Accepting new patients | |
| Sanford Health Network | Current |
Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Current |
Accepting new patients | |
| Sanford Medical Center | Current |
Accepting new patients | |
| Sanford Clinic | Current |
Accepting new patients | |
| Sanford Clinic | Current | Accepting new patients | |
| Sanford Health Network | Past | Accepting new patients |
Locations
303 E Jefferson St
Inwood, IA 51240
Phone (712) 753-4401
104 Buncombe Dr
Rock Rapids, IA 51246
Phone (712) 472-3333
118 N 7th Ave
Sheldon, IA 51201
Phone (712) 324-5041
733 Main St
Ste A
Edgerton, MN 56128
Phone (507) 449-1500
1601 Sioux Valley Dr
Luverne, MN 56156
Phone (507) 283-4476
1600 N Kniss Ave
Luverne, MN 56156
Phone (507) 283-2321
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 084578 | IA | |
| Registered Dietitian | 133V00000X | 2582 | MN | Yes |
Addresses
Primary practice location
1601 Sioux Valley Dr
Luverne, MN 56156-4500
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other providers in Luverne, MN
- Debbie A Boltjes
- Jill Boltjes
- Casey Christine Borgen
- Mary Jo Bose
- Diane Boyenga
- Michael E Carbonneau
- Sandra Kay Carman
- Timothy P Ceynowa
- Judy Sternberg Chesley
- Stephan L Chesley
All providers in Luverne, MN · Registered Dietitian in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2022. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.