KRISTEN ALEXA BURNETT PSY.D., LP
NPI 1699823237
Psychologist - Clinical in Plymouth, MN

Q: What is Kristen Burnett's NPI number?

The NPI number for Kristen Burnett is 1699823237. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Q: What is Kristen Burnett's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Kristen Burnett enrolled in Medicare?

No. Kristen Burnett has opted out of Medicare through August 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Kristen Burnett was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.

Active since January 08, 2007Opted out of Medicare · through Aug 25, 2027

11505 36TH AVE N, PLYMOUTH, MN 55441(763) 509-3818(763) 559-0149 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kristen Alexa Burnett Psy.d., Lp NPPES

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

KRISTEN ALEXA BURNETT PSY.D., LP (NPI 1699823237) is an individual clinical provider in Plymouth, Minnesota, licensed in Minnesota (4651) and active in the NPI registry since January 2007. She has opted out of Medicare through August 25, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1699823237

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKRISTEN ALEXA BURNETTCredential: PSY.D., LP

Location Address11505 36TH AVE NPlymouth, MN 55441-2304

Mailing Address11505 36th Ave NPlymouth, MN 55441-2304 · (763) 509-3818 · Fax (763) 559-0149

Phone(763) 509-3818

Fax(763) 559-0149

Sole ProprietorNo

Enumeration DateJanuary 8, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1699823237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MN · 4651

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

11505 36TH AVE N, Plymouth, MN 55441

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kristen Alexa Burnett Psy.d., Lp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 25, 2015 through August 25, 2027.

Opt-Out Effective DateAugust 25, 2015

Opt-Out In Effect ThroughAugust 25, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55441 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

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

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.

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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.

COURTNEY ELIZABETH WILKINS RN

Registered Nurse (Addiction (Substance Use Disorder))