KATHLEEN BUSACK
NPI 1104363936
Nurse Practitioner - Pediatrics in Columbus, OH
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
Specialties & Licenses
Other Names 1
Secondary Practice Locations 10
Other Identifiers 1
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).
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.
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.
COLUMBUS, OH 43205
COLUMBUS, OH 43205
COLUMBUS, OH 43205
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kathleen Busack's NPI number?
The NPI number for Kathleen Busack is 1104363936. It was assigned to this individual provider in the NPPES registry on January 31, 2017. The provider is also known as Kathleen Riestenberg Cpnp-Pc.
Where is Kathleen Busack located?
Kathleen Busack practices at 700 Childrens Dr, Columbus, OH 43205. The listed phone number is (614) 722-6200.
What is Kathleen Busack's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Kathleen Busack enrolled in Medicare?
Yes. Kathleen Busack is registered in the Medicare PECOS enrollment system.
What insurance does Kathleen Busack accept?
Health plans from CareSource and UnitedHealthcare list Kathleen Busack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kathleen Busack was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kathleen Busack · NPI 1104363936
Pediatrics physician in Columbus, Ohio. Individual provider, active in the CMS NPPES registry since January 31, 2017.
## Identity
- **NPI:** 1104363936 (Entity type: Individual)
- **Enumerated:** January 31, 2017
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** APRN.CNP.019360 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 700 CHILDRENS DR, Columbus, OH 43205
- **Phone:** (614) 722-6200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 5, 2026
- **Other identifiers:** Medicaid 0206640 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1104363936) · Data from the CMS NPPES public registry.