Individual provider Active NPI

Paul Andrew Bush

  • Certified Registered Nurse Anesthetist
  • Muskegon, MI
National Provider Identifier
1215590781
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704292547 Issued in MI
Practice address
1500 E Sherman Blvd
Muskegon, MI 49444-1849
Phone
(231) 672-2000
NPI assigned
Apr 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704292547 MI Primary

Addresses

Primary practice location

1500 E Sherman Blvd
Muskegon, MI 49444-1849

Mailing address

1500 Concord Ter
Sunrise, FL 33323-2815
Phone (800) 243-3839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190905001741 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113256827 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Kalamazoo Anesthesiology P CGroup PAC ID 3375449473, 135 clinicians
Rest Assured Anesthesia Management IncGroup PAC ID 3274971007, 21 clinicians
Fast Asleep Anesthesia Staffing Services LLCGroup PAC ID 4183071418, 2 clinicians

Practice addresses (Care Compare)

125 W Walnut St
Bronson Outpatient Surgery Center
Kalamazoo, MI 49007-5239
Phone (269) 343-1381

8251 Westpark Way
Westpark Surg Ctr
Zeeland, MI 49464-7903
Phone (616) 290-0912

900 Peeler St
Kalamazoo, MI 49008-2300
Phone (269) 345-8618

999 Washington Ave
Holland, MI 49423-7722
Phone (800) 343-3588

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kalamazoo Anesthesiology P C CurrentSince Aug 4, 2023 Accepting new patients
Fast Asleep Anesthesia Staffing Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2024 Accepting new patients
Rest Assured Anesthesia Management, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Lighthouse Anesthesia Staffing LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2023 Accepting new patients
Muskegon Surgical Associates Surgicenter, PLC Past Accepting new patients

Locations

3600 Capital Ave SW
Ste 101
Battle Creek, MI 49015
Phone (269) 979-2490

520 Butternut Dr
Unit 8
Holland, MI 49424
Phone (616) 594-0081

999 Washington Ave
Holland, MI 49423
Phone (616) 396-2316

900 Peeler St
Kalamazoo, MI 49008
Phone (269) 345-8618

5623 E Dunbar Rd
Monroe, MI 48161

1298 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 726-4498

8251 Westpark Way
Zeeland, MI 49464
Phone (616) 355-3930

Organizations & group practices 6

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": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1215590781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 CONCORD TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232815",
            "telephone_number": "800-243-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E SHERMAN BLVD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441849",
            "telephone_number": "231-672-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "PAUL",
        "middle_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704292547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.