Active NPI
Lisa M Bush, CRNP
- Family Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP017336
- Practice address
- 37 S 40TH St
Philadelphia, PA 19104-3042 - Phone
- (215) 444-7470
- Fax
- (215) 764-6556
- NPI assigned
- Jan 17, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP017336 | PA | Primary |
Addresses
Primary practice location
37 S 40TH St
Philadelphia, PA 19104-3042
Mailing address
PO Box 746722
Atlanta, GA 30374-6722
Other practice location 1
3400 Civic Center Blvd
3rd floor
Phila, PA 19104-5127
Phone (215) 662-3318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3621 Aramingo Ave
Philadelphia, PA 19134-4607
Phone (312) 600-8484
37 S 40TH St
FL 2
Philadelphia, PA 19104-3042
Phone (215) 444-7470
Hospital & facility affiliations
- Penn Medicine Home Health
- Penn Presbyterian Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn-Medical Group | Current | Accepting new patients | |
| Osh - PA Physicians Group, PC | Family | Current | Accepting new patients |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Main Line Healthcare | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients |
Locations
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484
3400 Civic Center Blvd
Fl 3
Philadelphia, PA 19104
Phone (215) 614-4100
37 S 40th St
Philadelphia, PA 19104
Phone (215) 444-7470
951 N 6th St
Ste 221
Reading, PA 19601
Phone (484) 207-2000
100 E Lancaster Ave
Ste 330W
Wynnewood, PA 19096
Phone (610) 645-6555
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Newtown Square, PA
- NPI 1922077643
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
- Gynecology Physician
- Philadelphia, PA
- NPI 1336537448
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1245207521
-
- Home Health Agency
- Bala Cynwyd, PA
- NPI 1992746366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1306382171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746722",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746722",
"fax_number": "215-349-5680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 S 40TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191043042",
"telephone_number": "215-444-7470",
"fax_number": "215-764-6556"
}
],
"practiceLocations": [
{
"address_1": "3400 Civic Center Blvd",
"address_2": "3rd floor",
"address_purpose": "LOCATION",
"city": "Phila",
"state": "PA",
"postal_code": "191045127",
"country_code": "US",
"telephone_number": "215-662-3318",
"fax_number": "215-349-5680",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSH",
"first_name": "LISA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-17",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP017336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.
- 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.