Susan J Bushelman, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

30551 Issued in KY

Practice address

7766 Ewing Blvd
Ste 100
Florence, KY 41042-7538

Phone

(859) 283-1033

Fax

(859) 283-1066

NPI assigned

Mar 27, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Kentucky College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Associates of Northern Kentucky PSCGroup PAC ID 1153304647, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035

Merit-based Incentive Payment System (MIPS)

Final score

88.38 of 100Reported as group

Quality

83.58

Promoting interoperability

86

Improvement activities

40

Cost

89.35

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dermatology Associates of Northern Kentucky PSC

  • Dermatopathology Physician
  • Florence, KY
  • NPI 1629197397
  Medicare reassignment Care Compare group NPD
• Proven Cosmetic Dermatology

  dba Dermatology Aesthetics of Northern Kentucky

  • Dermatology Physician
  • Florence, KY
  • NPI 1811663198
  NPD Authorized official
• Skin Cancer Center Inc

  • Ambulatory Surgical Clinic/Center
  • Cincinnati, OH
  • NPI 1871526004
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Elizabeth Medical Center, Inc

  • General Acute Care Hospital
  • Edgewood, KY
  • NPI 1467492421
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1073632733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7766 EWING BLVD",
            "address_2": "STE 100",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410427538",
            "telephone_number": "859-283-1033",
            "fax_number": "859-283-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7766 EWING BLVD",
            "address_2": "STE 100",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410427538",
            "telephone_number": "859-283-1033",
            "fax_number": "859-283-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHELMAN",
        "first_name": "SUSAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "30551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTCARE ID",
            "identifier": "03-0055",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "3230980",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ID",
            "identifier": "000000291599",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa A Burger, M.ED, LPCC
• Andrea Burns, PHARMD
• Dana Burns, PHARMD
• Timothy Joseph Burroughs, M.D.
• Daniel J Bush, PHD, MA, MDIV, LPCC
• Allyson Butler
• Sarah Kathryn Butler
• Callie Rhea Byas
• Kathryn Leigh Byrne
• Daniel Cadmus, NBHWC

• Dermatology Physician in Florence, KY
• Providers in Florence, KY by specialty
• Dermatology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.