Active NPI
Michelle Busch I, A.N.P.
- Nurse Practitioner
- Brooklyn Center, MN
National Provider Identifier
1174537542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R1294831
- Practice address
- 6200 Shingle Creek Pkwy
Suite 260
Brooklyn Center, MN 55430-2128 - Phone
- (763) 561-5349
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R1294831 | MN | Primary |
Addresses
Primary practice location
6200 Shingle Creek Pkwy
Suite 260
Brooklyn Center, MN 55430-2128
Mailing address
7525 Wayzata Blvd
St Louis Park, MN 55426-1621
Phone (303) 405-2100
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0410386 | Other | MN | MEDICA |
| 410D6BU | Other | MN | BCBSMN |
| HP37268 | Other | MN | HEALTHPARTNERS |
| 114220800 | Medicaid | MN | |
| 1174537542 | Other | MN | AMERICA'S PPO |
| 960931032384 | Other | MN | PREFERRED ONE |
| 142822C028 | Other | MN | UCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1294831 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Villagehealth DM LLC | Current | Accepting new patients | |
| Ilbnc, P.a. | Past | Accepting new patients |
Locations
2000 16th St
Denver, CO 80202
Phone (253) 733-4500
7525 Wayzata Blvd
St Louis Park, MN 55426
Phone (303) 405-2100
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
-
- Orthopaedic Surgery of the Spine Physician
- Bloomington, MN
- NPI 1023001815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1174537542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7525 WAYZATA BLVD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554261621",
"telephone_number": "303-405-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 SHINGLE CREEK PKWY",
"address_2": "SUITE 260",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554302128",
"telephone_number": "763-561-5349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSCH",
"first_name": "MICHELLE",
"name_suffix": "I",
"credential": "A.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R1294831",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "0410386",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMN",
"identifier": "410D6BU",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP37268",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114220800",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO",
"identifier": "1174537542",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "960931032384",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "142822C028",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn Center, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.