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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATHRYN BURSTALL APRN
NPI 1104778653
Nurse Practitioner - Adult Health in Melbourne, FL

Active since February 09, 2026PECOS Enrolled
1223 GATEWAY DR STE 2F, MELBOURNE, FL 32901(321) 312-3487(321) 956-2542 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2026, Mar 25, 2026 (2 updates tracked since 2026).

About Kathryn Burstall Aprn NPPES

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

KATHRYN BURSTALL APRN (NPI 1104778653) is an individual adult health provider in Melbourne, Florida, licensed in Florida (APRN11043441) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104778653
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKATHRYN BURSTALLCredential: APRN
Location Address1223 GATEWAY DR STE 2FMelbourne, FL 32901-2607
Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306 · (321) 312-3487
Phone(321) 312-3487
Fax(321) 956-2542
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 9, 2026
Last NPPES UpdateJune 29, 20262 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1104778653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · APRN11043441
1223 GATEWAY DR STE 2F, Melbourne, FL 32901
Open in Google Maps ↗

Other Identifiers 2

Medicaid130661100FL
OtherW9524FL · Hfmg

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Burstall Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577048123
PECOS Enrollment IDI20260331004723
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 32901 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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

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

MRS. JAMIE LYNN CRAWFORD APRN
Nurse Practitioner (Adult Health)
1223 GATEWAY DR STE 2F
MELBOURNE, FL 32901
Brevard County (321) 312-3486

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 Kathryn Burstall's NPI number?

The NPI number for Kathryn Burstall is 1104778653. It was assigned to this individual provider in the NPPES registry on February 9, 2026.

Where is Kathryn Burstall located?

Kathryn Burstall practices at 1223 Gateway Dr Ste 2F, Melbourne, FL 32901. The listed phone number is (321) 312-3487.

What is Kathryn Burstall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kathryn Burstall enrolled in Medicare?

Yes. Kathryn Burstall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathryn Burstall was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 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.