Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly C Bourassa, DNP, APRN, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1104590660

Kimberly C Bourassa, DNP, APRN, PMHNP-BC is a Nurse Practitioner in Shakopee, Minnesota. Qualified in 2021, 5 years ago. Practices with Fraser Child and Family Center, a 55-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2021
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

327 Marschall Rd Ste 250
Shakopee, MN 55379-2666
Phone: (651) 769-6500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3460 Washington Dr, Eagan, MN 55122-1338 — (651) 769-6200

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 9071 (MN)

Record details

NPI number1104590660
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , APRN , PMHNP-BC
Sole proprietorNo
NPI enumeratedAugust 6, 2021
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Fraser Child And Family Center — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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