Individual provider Active NPI

Nicole Antoinette Busch, MSN, APRN, AGCNS-BC

  • Adult Health Clinical Nurse Specialist
  • Austin, TX
National Provider Identifier
1073985446
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
AP128977 Issued in TX
Practice address
4100 Duval Rd
BLDG III Suite 200
Austin, TX 78759
Phone
(512) 485-7200
Fax
(512) 485-7224
NPI assigned
Oct 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X AP128977 TX Primary

Addresses

Primary practice location

4100 Duval Rd
BLDG III Suite 200
Austin, TX 78759

Mailing address

2000 S Mays St Ste 201
Round Rock, TX 78664-7580
Phone (512) 244-4272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160107000871 TX Practitioner - Nurse Practitioner 9638471683 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Texas Pain Institute PLLCGroup PAC ID 6103802384, 6 clinicians

Practice addresses (Care Compare)

3310 E Central Texas Expy
201 Pain Specialist of Austin
Killeen, TX 76543-5308
Phone (855) 876-7246

Hospital & facility affiliations

  • Adventhealth Central Texas Hospital, Killeen, TX, CCN 450152
  • Seton Medical Center Harker Heights Hospital, Harker Heights, TX, CCN 670080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Pain Center, PLLC CurrentSince May 1, 2021 Accepting new patients
Doctx3 PLLC CurrentSince Apr 25, 2023 Accepting new patients
Doctx3 PLLC CurrentSince Apr 25, 2023 Accepting new patients
Central Texas Pain Center, PLLC CurrentSince May 1, 2021 Accepting new patients
Mark Malone MD PA Past Accepting new patients
Daniel a. Frederick, M.D., P.a. Past Accepting new patients

Locations

3110 Guadalupe St
Ste 100
Austin, TX 78705
Phone (512) 599-9510

4316 James Casey St
Ste B-200
Austin, TX 78745

709 E Slaughter Ln
Ste 404
Austin, TX 78744
Phone (512) 277-6643

3412 E Hebron Pkwy
Ste 106
Carrollton, TX 75010
Phone (469) 277-8253

1401 Medical Pkwy
Ste 345
Cedar Park, TX 78613
Phone (512) 953-8137

3100 Unicorn Lake Blvd
Ste 120
Denton, TX 76210
Phone (214) 444-5558

8501 Wade Blvd
Ste 630
Frisco, TX 75034
Phone (469) 717-0329

9500 Dallas Pkwy
Ste 100
Frisco, TX 75033
Phone (469) 535-6647

3014 N O Connor Rd
Ste 200
Irving, TX 75062
Phone (214) 444-5558

3310 E Central Texas Expy
Ste 201
Killeen, TX 76543
Phone (558) 767-2468

1900 Matlock Rd
Bldg 1
Mansfield, TX 76063
Phone (682) 628-0277

213 Hunters Vlg
New Braunfels, TX 78132
Phone (830) 627-3800

7201 Wyoming Springs Dr
Ste 400
Round Rock, TX 78681
Phone (512) 953-8133

1304 Wonder World Dr
San Marcos, TX 78666
Phone (512) 396-2500

2419 W Southlake Blvd
Ste 100
Southlake, TX 76092
Phone (469) 535-6842

305 Clinite Grove Blvd
Temple, TX 76502

Organizations & group practices 8

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1073985446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S MAYS ST STE 201",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647580",
            "telephone_number": "512-244-4272",
            "fax_number": "512-244-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 DUVAL RD",
            "address_2": "BLDG III SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78759",
            "telephone_number": "512-485-7200",
            "fax_number": "512-485-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSCH",
        "first_name": "NICOLE",
        "middle_name": "ANTOINETTE",
        "credential": "MSN, APRN, AGCNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "AP128977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.