Active NPI
Kelli Ann Buresh, DNP ARNP AGPCNP-C
- Adult Health Nurse Practitioner
- Marshalltown, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- HI55243
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| HI55243 | IA | MD | Gerontology Nurse Practitioner |
| H155243 | IA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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 | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Current | Accepting new patients | |
| Unitypoint Health - Marshalltown | Current | Accepting new patients | |
| Unitypoint Health - Marshalltown | Current | 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
- 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.
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
IA
-
- Women's Health Nurse Practitioner
- Waterloo, IA
- NPI 1891772927
IA
-
- Rural Health Clinic/Center
- Waverly, IA
- NPI 1124655006
-
- Clinical Medical Laboratory
- Cedar Falls, IA
- NPI 1538617840
-
- Rural Health Clinic/Center
- Conrad, IA
- NPI 1083149611
-
- Rural Health Clinic/Center
- Toledo, IA
- NPI 1114452752
-
- Rural Health Clinic/Center
- Parkersburg, IA
- NPI 1164068656
-
- Rural Health Clinic/Center
- Grundy Center, IA
- NPI 1255977740
-
- Rural Health Clinic/Center
- Marshalltown, IA
- NPI 1396279907
-
- Rural Health Clinic/Center
- State Center, IA
- NPI 1407381031
-
- Rural Health Clinic/Center
- Denver, IA
- NPI 1467089334
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Waterloo, IA
- NPI 1154623460
-
- General Acute Care Hospital
- Marshalltown, IA
- NPI 1629503057
Hospital
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 FoundationUnitypoint Health - Marshalltown
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
- Unitypoint Health - Marshalltown
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.