Active NPI
Mary Denise Busch, PMHNP
- Family Nurse Practitioner
- Hillsboro, OR
National Provider Identifier
1235219726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201050124NP
- Practice address
- 226 SE 8TH Ave
Hillsboro, OR 97123-4218 - Phone
- (503) 601-7400
- Fax
- (503) 601-7311
- NPI assigned
- Oct 17, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 097006687N6PMHNP-PP | OR | |
| Family Nurse Practitioner | 363LF0000X | 201050124NP | OR | Primary |
Addresses
Primary practice location
226 SE 8TH Ave
Hillsboro, OR 97123-4218
Mailing address
PO Box 6149
Aloha, OR 97007-0149
Phone (503) 352-8642
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500627319 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 097006687N6PMHNP-PP | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Cornelius, OR
- NPI 1679528012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557878400000",
"number": "1235219726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6149",
"city": "ALOHA",
"state": "OR",
"postal_code": "970070149",
"telephone_number": "503-352-8642",
"fax_number": "503-352-8658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 SE 8TH AVE",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234218",
"telephone_number": "503-601-7400",
"fax_number": "503-601-7311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSCH",
"first_name": "MARY",
"middle_name": "DENISE",
"name_prefix": "Ms.",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2019-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "097006687N6PMHNP-PP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201050124NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500627319",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.