Individual provider Active NPI

Shameka Bussie-Guest

  • Family Nurse Practitioner
  • Lawrenceville, NJ
National Provider Identifier
1164905345
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00856100 Issued in NJ
Practice address
2721 Brunswick Pike
Lawrenceville, NJ 08648-4106
Phone
(609) 882-2577
NPI assigned
Sep 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00856100 NJ Primary

Addresses

Primary practice location

2721 Brunswick Pike
Lawrenceville, NJ 08648-4106

Mailing address

2721 Brunswick Pike
Lawrenceville, NJ 08648-4106
Phone (609) 882-2577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220226000234 PA Practitioner - Nurse Practitioner 4880938646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rowan University School of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2130 Spring Garden St
Philadelphia, PA 19130-3502
Phone (215) 955-9555

2301 S Broad St
Philadelphia, PA 19148-3542

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Associates in Healthcare, Inc CurrentSince Feb 1, 2022 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Feb 1, 2022 Accepting new patients
Jefferson University Physicians Past Accepting new patients

Locations

2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175

2130 Spring Garden St
Fl 1
Philadelphia, PA 19130
Phone (215) 955-9555

Organizations & group practices 3

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 1

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": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1164905345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 BRUNSWICK PIKE",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484106",
            "telephone_number": "609-882-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 BRUNSWICK PIKE",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484106",
            "telephone_number": "609-882-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSIE-GUEST",
        "first_name": "SHAMEKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00856100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.