Individual provider Active NPI

Ann Marie Busker, REGISTERED DIETITIAN

  • Registered Dietitian
  • Luverne, MN
National Provider Identifier
1831663509
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2582 Issued in MN
Practice address
1601 Sioux Valley Dr
Luverne, MN 56156-4500
Phone
(507) 449-1263
NPI assigned
Jan 16, 2019
Last updated
Jul 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 084578 IA
Registered Dietitian 133V00000X 2582 MN Primary

Addresses

Primary practice location

1601 Sioux Valley Dr
Luverne, MN 56156-4500

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
084578IAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center CurrentSince Aug 25, 2022 Accepting new patients
Sanford Clinic Current Accepting new patients
Sanford Clinic CurrentSince May 1, 2019 Accepting new patients
Sanford Clinic CurrentSince May 1, 2019 Accepting new patients
Sanford Health Network CurrentSince Apr 28, 2022 Accepting new patients
Sanford Health Network CurrentSince Apr 28, 2022 Accepting new patients
Sanford Health Network Current Accepting new patients
Sanford Medical Center 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

1600 N Kniss Ave
Luverne, MN 56156
Phone (507) 283-2321

1601 Sioux Valley Dr
Luverne, MN 56156
Phone (507) 283-4476

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1831663509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SIOUX VALLEY DR",
            "city": "LUVERNE",
            "state": "MN",
            "postal_code": "561564500",
            "telephone_number": "507-449-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSKER",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED DIETITIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "084578",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "2582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Luverne, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.