Kelly A. C. Busby, DO

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

42863 Issued in CO

Practice address

28 S Washington St
Cortez, CO 81321-3738

Phone

(970) 715-1080

Fax

(970) 638-2401

NPI assigned

Jan 11, 2007

Last updated

Aug 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 2, 2018 through Jun 2, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1215087499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 S WASHINGTON ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213738",
            "telephone_number": "970-715-1080",
            "fax_number": "970-638-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 S WASHINGTON ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213738",
            "telephone_number": "970-715-1080",
            "fax_number": "970-638-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSBY",
        "first_name": "KELLY",
        "middle_name": "A. C.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CO",
            "license": "42863",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "42863",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1215087499",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jade Bryant, PHARMD
• Gary Wayne Buck, PA-C
• Leanne Irene Buck, PA C
• David Buckwalter, D.O.
• Morgan Bugosh, PT, DPT
• C&G Health Care Management Inc
• C&G Health Care Management Inc
• Kenneth Raymond Carlson, D.D.S.
• Frank Richard Carman, LPC, CACIII
• Julie M Carpenter, O.T.

• Neuromusculoskeletal Medicine & OMM Physician in Cortez, CO
• Providers in Cortez, CO by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.