Individual provider Active NPI

Cheryl L Buss, NP

  • Adult Health Nurse Practitioner
  • Washington, IN
National Provider Identifier
1124013321
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
71001191A Issued in IN
Practice address
1805 S Sr 57
Washington, IN 47501-4326
Phone
(812) 254-7845
Fax
(812) 254-5989
NPI assigned
Sep 14, 2005
Last updated
Jan 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 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 Nurse Practitioner 363LA2200X 71001191A IN Primary

Addresses

Primary practice location

1805 S Sr 57
Washington, IN 47501-4326

Mailing address

PO Box 760
Washington, IN 47501-0760
Phone (812) 254-7310

Other identifiers 2

IdentifierTypeStateIssuer
000000390254OtherINPMC- ANTHEM
200535000MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lindacallaghan@dchpm.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20050411000448 IN Practitioner - Nurse Practitioner 0648217711 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71001191AINMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Daviess County Hospital Current Accepting new patients
Daviess County Hospital Current Accepting new patients
Daviess County Hospital CurrentSince Sep 18, 2010 Accepting new patients
Daviess County Hospital CurrentSince Sep 18, 2010 Accepting new patients
Daviess County Hospital CurrentSince Nov 1, 2019 Accepting new patients
Montgomery Medical Associates LLC Past Accepting new patients
Daviess County Hospital Past Accepting new patients
Pain Management Center of Southern Indiana, Inc. Past Accepting new patients
Pain Management Center of Southern Indiana Past Accepting new patients

Locations

12546 E US Highway 50
Loogootee, IN 47553
Phone (812) 295-5095

542 N 3rd St
Montgomery, IN 47558
Phone (812) 486-2333

1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250

1402 Grand Ave
Washington, IN 47501
Phone (812) 254-2250

1805 S State Road 57
Washington, IN 47501
Phone (812) 254-7845

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19031/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1124013321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 760",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475010760",
            "telephone_number": "812-254-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 S SR 57",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475014326",
            "telephone_number": "812-254-7845",
            "fax_number": "812-254-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSS",
        "first_name": "CHERYL",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71001191A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC- ANTHEM",
            "identifier": "000000390254",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200535000",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lindacallaghan@dchpm.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1805 S SR 57",
            "city": "Washington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "475014326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, IN

Sources for this page

Verify at the official NPI Registry.