MRS. KIMBERLY DAWN BURSCH-TEWALT NP-C
NPI 1447857669
Nurse Practitioner - Family in Buffalo, MN

Active since October 01, 2020PECOS EnrolledAccepts Medicare Assignment
755 CROSSROADS CAMPUS DR NE STE 100, BUFFALO, MN 55313(763) 684-6300 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2025, Oct 1, 2020 (2 updates tracked since 2020).

About Mrs. Kimberly Dawn Bursch-tewalt Np-c NPPES

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

MRS. KIMBERLY DAWN BURSCH-TEWALT NP-C (NPI 1447857669) is an individual family provider in Buffalo, Minnesota, licensed in Minnesota (7549) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1447857669
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KIMBERLY DAWN BURSCH-TEWALTCredential: NP-C
Location Address755 CROSSROADS CAMPUS DR NE STE 100Buffalo, MN 55313-5074
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 1, 2020
Last NPPES UpdateJune 4, 20252 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
NPI 1447857669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MN · 7549
755 CROSSROADS CAMPUS DR NE STE 100, Buffalo, MN 55313

Other Names 1

Former Name (1)Ms. Kimberly Dawn Bursch Rn

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

Mrs. Kimberly Dawn Bursch-tewalt Np-c 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.

PECOS PAC ID3870989684
PECOS Enrollment IDI20220404002481
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
4,500 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
140 services96 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
44 services44 patients
Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615
This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.
22 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55313 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 3

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

Clinic/Center (Urgent Care)
755 CROSSROADS CAMPUS DR NE STE 100
BUFFALO, MN 55313
Nurse Practitioner (Family)
755 CROSSROADS CAMPUS DR NE STE 100
BUFFALO, MN 55313
Nurse Practitioner (Family)
755 CROSSROADS CAMPUS DR NE STE 100
BUFFALO, MN 55313

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 Bursch-tewalt's NPI number?

The NPI number for Kimberly Bursch-tewalt is 1447857669. It was assigned to this individual provider in the NPPES registry on October 1, 2020. The provider is also known as Ms. Kimberly Dawn Bursch Rn.

Where is Kimberly Bursch-tewalt located?

Kimberly Bursch-tewalt practices at 755 Crossroads Campus Dr NE Ste 100, Buffalo, MN 55313. The listed phone number is (763) 684-6300.

What is Kimberly Bursch-tewalt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kimberly Bursch-tewalt enrolled in Medicare?

Yes. Kimberly Bursch-tewalt 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 Bursch-tewalt accept?

Health plans from Medica and Sanford Health Plan list Kimberly Bursch-tewalt 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 Bursch-tewalt was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.