Individual provider Active NPI

Kelli Ann Buresh, DNP ARNP AGPCNP-C

  • Adult Health Nurse Practitioner
  • Marshalltown, IA
National Provider Identifier
1891347464
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
HI55243 Issued in IA
Practice address
55 Central Iowa Dr
Marshalltown, IA 50158-4705
Phone
(641) 754-8039
NPI assigned
Jul 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X HI55243 IA
Primary Care Nurse Practitioner 363LP2300X H155243 IA
Adult Health Nurse Practitioner 363LA2200X HI55243 IA Primary

Addresses

Primary practice location

55 Central Iowa Dr
Marshalltown, IA 50158-4705

Mailing address

510 Brentwood PL
Marshalltown, IA 50158-3720
Phone (641) 751-8039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190917000611 IA Practitioner - Nurse Practitioner 9133458169 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
HI55243IAMDGerontology Nurse Practitioner
H155243IAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Salahuddin Syed MD PC Current Accepting new patients
Allen Memorial Hospital Corporation Current Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Allen Memorial Hospital Corporation CurrentSince Mar 24, 2020 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Jan 1, 2021 Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Aug 26, 2019 Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Aug 26, 2019 Accepting new patients
Central Iowa Healthcare Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145

55 Unitypoint Way
Ste 50
Marshalltown, IA 50158
Phone (641) 854-8550

3 S 4th Ave
Marshalltown, IA 50158
Phone (641) 754-5145

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

Interoperability endpoints

  • Direct secure messaging: kburesh658088@direct.unitypoint.org

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 17

Hospital & facility affiliations 2

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Iowa, RJ & L Carver College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Physicians Clinic Medical Foundation 1,254 clinicians
Unitypoint Health - Marshalltown 24 clinicians

Practice addresses (Care Compare)

1301 Summit St
Marshalltown, IA 50158-5484
Phone (319) 235-5151

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

55 Unitypoint Way
Marshalltown, IA 50158-4749
Phone (641) 754-5145

Hospital & facility affiliations

  • Unitypoint at Home Home health agency, Waterloo, IA, CCN 167147
  • Unitypoint Health - Marshalltown Hospital, Marshalltown, IA, CCN 160001

NPI Registry JSON

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1891347464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 BRENTWOOD PL",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501583720",
            "telephone_number": "641-751-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CENTRAL IOWA DR",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584705",
            "telephone_number": "641-754-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURESH",
        "first_name": "KELLI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DNP ARNP AGPCNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IA",
            "license": "HI55243",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IA",
            "license": "H155243",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IA",
            "license": "HI55243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshalltown, IA

Sources for this page

Verify at the official NPI Registry.