Individual provider Active NPI

Erin Bushell, M.D.

  • Anesthesiology Physician
  • Stanford, CA
National Provider Identifier
1184021826
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
60857 Issued in CA
Practice address
300 Pasteur Dr
Room H3583
Stanford, CA 94305-2200
Phone
(650) 723-6412
NPI assigned
Nov 24, 2014
Last updated
Aug 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD60846753 WA
Anesthesiology Physician 207L00000X 60857 CA Primary

Addresses

Primary practice location

300 Pasteur Dr
Room H3583
Stanford, CA 94305-2200

Mailing address

300 Pasteur Dr
Room H3583
Stanford, CA 94305-2200
Phone (650) 723-6412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040407000764 CA Practitioner - Anesthesiology 0749273407
I20180925002782 WA Practitioner - Anesthesiology 0749273407 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Stanford University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians

Practice addresses (Care Compare)

939 Caroline St
Port Angeles, WA 98362-3909
Phone (360) 417-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Anesthesia Associates, PLLC Anesthesiology CurrentSince Jun 5, 2024 Accepting new patients
Bainbridge Anesthesia Associates PS Anesthesiology CurrentSince Jul 15, 2023 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Nov 29, 2022 Accepting new patients
Tahoma Anesthesiology Consultants PS Anesthesiology Past Accepting new patients

Locations

6003 23rd Dr W
Ste 100
Everett, WA 98203

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

939 Caroline St
Port Angeles, WA 98362
Phone (360) 417-7315

400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450

9800 Levin Rd NW
Ste 102
Silverdale, WA 98383
Phone (360) 692-2728

Organizations & group practices 4

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.

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": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1184021826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "address_2": "ROOM H3583",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "address_2": "ROOM H3583",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHELL",
        "first_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD60846753",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "60857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.