KIMBERLY C BOURASSA DNP, APRN, PMHNP-BC
NPI 1104590660
Nurse Practitioner - Psychiatric/Mental Health in Shakopee, MN
About Kimberly C Bourassa Dnp, Aprn, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY C BOURASSA DNP, APRN, PMHNP-BC (NPI 1104590660) is an individual psychiatric/mental health provider in Shakopee, Minnesota, licensed in Minnesota (9071) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Eagan, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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 and accepts Medicare assignment
Kimberly C Bourassa Dnp, Aprn, Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55379 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHAKOPEE, MN 55379
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 Kimberly Bourassa's NPI number?
The NPI number for Kimberly Bourassa is 1104590660. It was assigned to this individual provider in the NPPES registry on August 6, 2021.
Where is Kimberly Bourassa located?
Kimberly Bourassa practices at 327 Marschall Rd Ste 250, Shakopee, MN 55379. The listed phone number is (651) 769-6500.
What is Kimberly Bourassa's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kimberly Bourassa enrolled in Medicare?
Yes. Kimberly Bourassa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Kimberly Bourassa accept?
Health plans from HealthPartners list Kimberly Bourassa 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 Kimberly Bourassa was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
