AVA BURCKHARD CCC-SLP
NPI 1972954162
Speech-Language Pathologist in Bismarck, ND

Q: What is Ava Burckhard's NPI number?

The NPI number for Ava Burckhard is 1972954162. It was assigned to this individual provider in the NPPES registry on June 29, 2016. The provider is also known as Ava Brereton.

Q: What is Ava Burckhard's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Ava Burckhard was last updated on September 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 June 29, 2016

4501 COLEMAN ST N SUITE #103, PEDIATRIC THERAPY PARTNERS, BISMARCK, ND 58503(701) 751-6336 Get Directions Write a Review

NPPES record last updated: September 7, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 7, 2018, Jun 29, 2016 (2 updates tracked since 2016).

On this page

About Ava Burckhard Ccc-slp NPPES

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

AVA BURCKHARD CCC-SLP (NPI 1972954162) is an individual speech-language pathologist provider in Bismarck, North Dakota and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1972954162

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameAVA BURCKHARDCredential: CCC-SLP

Location Address4501 COLEMAN ST N SUITE #103, PEDIATRIC THERAPY PARTNERSBismarck, ND 58503

Mailing Address306 3rd St SwMandan, ND 58554-4145

Phone(701) 751-6336

Sole ProprietorNo

Enumeration DateJune 29, 2016

Last NPPES UpdateSeptember 7, 20182 updates tracked since enumeration

✔ NPI 1972954162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Other Names 1

Former Name (1)Ava Brereton

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ava Burckhard Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Ava Burckhard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatric Therapy Partners, Inc.

Occupational Therapist

419 ATLANTIC AVE
Thief River Falls, MN 56701

Reassigned Medicare billing, North Dakota enrollment
79 clinicians in this Medicare group

NPI 1457479958 (701) 232-2340

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ava Burckhard's NPI number?

The NPI number for Ava Burckhard is 1972954162. It was assigned to this individual provider in the NPPES registry on June 29, 2016. The provider is also known as Ava Brereton.

Where is Ava Burckhard located?

Ava Burckhard practices at 4501 Coleman St N Suite #103 Pediatric Therapy Partners, Bismarck, ND 58503. The listed phone number is (701) 751-6336.

What is Ava Burckhard's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Ava Burckhard enrolled in Medicare?

Yes. Ava Burckhard is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ava Burckhard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ava Burckhard reassigns Medicare benefits to Pediatric Therapy Partners, Inc. (Thief River Falls, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ava Burckhard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ava Burckhard accept?

Health plans from Blue Cross Blue Shield of North Dakota list Ava Burckhard 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 Ava Burckhard was last updated on September 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.