Kathryn Burstall, APRN
Nurse Practitioner, Adult Health in Melbourne, FL. Individual provider (NPI-1).
NPI number1104778653
StatusActive
Last updated in NPPESJun 29, 2026
Details
- NPI
- 1104778653
- Entity type
- Individual (NPI-1)
- Name
- Kathryn Burstall
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 9, 2026
- Certification date
- Jun 29, 2026
- Last updated
- Jun 29, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | APRN11043441 | FL | Yes |
Practice location
1223 Gateway Dr Ste 2fMelbourne, FL 32901-2607
Phone 321-312-3487 · Fax 321-956-2542
Mailing address
3300 S Fiske BlvdRockledge, FL 32955-4306
Phone 321-312-3487
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 88 Adult Health Nurse Practitioner providers in Melbourne · All 6,122 providers in Melbourne
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