KATHLEEN BUSACK
NPI 1104363936
Nurse Practitioner - Pediatrics in Columbus, OH

Active since January 31, 2017PECOS Enrolled
700 CHILDRENS DR, COLUMBUS, OH 43205(614) 722-6200 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 15, 2022, Jan 23, 2020, May 18, 2018 and 4 more (7 updates tracked since 2017).

About Kathleen Busack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN BUSACK (NPI 1104363936) is an individual pediatrics provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.019360) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and maintains 10 additional practice locations.

NPPES Registry Identity

NPI1104363936
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKATHLEEN BUSACK
Location Address700 CHILDRENS DRColumbus, OH 43205
Mailing Address700 Childrens DrColumbus, OH 43205-2664
Sole ProprietorNo
Enumeration DateJanuary 31, 2017
Last NPPES UpdateFebruary 17, 20267 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
NPI 1104363936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in OH · APRN.CNP.019360
700 CHILDRENS DR, Columbus, OH 43205

Other Names 1

Former Name (1)Kathleen Riestenberg Cpnp-pc

Secondary Practice Locations 10

Location 14439 State Route 159Chillicothe, OH 45601-8207 · Phone (614) 722-2000
Location 27853 Pacer DrDelaware, OH 43015-7571 · Phone (614) 722-2000
Location 35675 Venture DrDublin, OH 43017-2159 · Phone (614) 722-2000
Location 45665 Venture DrDublin, OH 43017-2159 · Phone (614) 722-2000
Location 5716 Adair AveZanesville, OH 43701-2836 · Phone (614) 722-2000
Location 66435 E Broad StColumbus, OH 43213-1507 · Phone (614) 722-2000
Location 78930 Ohio River RdWheelersburg, OH 45694-1922 · Phone (614) 722-2000
Location 8740 Adair AveZanesville, OH 43701-2838 · Phone (614) 722-6200
Location 9536 S Trimble RdMansfield, OH 44906-3418 · Phone (614) 722-6200
Location 10555 S 18th StColumbus, OH 43205-2654 · Phone (614) 722-2000

Other Identifiers 1

Medicaid0206640OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kathleen Busack is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
700 CHILDRENS DR
COLUMBUS, OH 43205
Pharmacist
700 CHILDRENS DR
COLUMBUS, OH 43205
Pathology (Pediatric Pathology)
700 CHILDRENS DR
COLUMBUS, OH 43205
Anesthesiology
700 CHILDRENS DR
COLUMBUS, OH 43205
Nurse Practitioner (Neonatal)
700 CHILDRENS DR, ROSS HALL 1ST FLOOR
COLUMBUS, OH 43205
Pharmacist
700 CHILDRENS DR
COLUMBUS, OH 43205
Anesthesiology
700 CHILDRENS DR
COLUMBUS, OH 43205
Surgery (Pediatric Surgery)
700 CHILDRENS DR
COLUMBUS, OH 43205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104363936, enumerated as an "individual" on January 31, 2017.

The provider is located at 700 CHILDRENS DR COLUMBUS, OH 43205 and the phone number is (614) 722-6200.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

The provider might be accepting Accepts: CareSource, UnitedHealthcare, Medicare and. Please consult your insurance carrier or call the provider to verify.