RENEE C BURK (FNP) – Family Nurse Practitioner, NPI 1104990118
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for RENEE C BURK (FNP)
Target, 13201, Ridgedale Drive, Minnetonka, Hennepin County, Minnesota, 55305, United States
MINNETONKA, MN 553051809
Phone: (866) 389-2727
Type: Location
4140 COUNTY ROAD 101 N
PLYMOUTH, MN 554462308
Phone: (865) 806-2223
Type: Mailing
600 CENTRAL AVE E
SAINT MICHAEL, MN 553769632
Phone: (865) 806-2223
Type: Mailing
1744, Magnolia Lane North, Plymouth, Hennepin County, Minnesota, 55441, United States
PLYMOUTH, MN 554414042
Phone: (865) 806-2223
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $28.
Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.
Last reported payment date: 2024-04-17 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($28).
Total Amount
$28
General + Research + Ownership
Payments
1
Total payment records
General Amount
$28
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $28 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-09-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170905003539 | I | Nurse Practitioner | MN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 14 | 14 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 13 | 13 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 12 | 12 | $0 |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 11 | 11 | $0 |
Insurance plans in this area (ZIP 55305)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN |
Reviews
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