Individual provider Active NPI

Monica Leigh Bush, CRNP

  • Family Nurse Practitioner
  • Decatur, AL
National Provider Identifier
1316131345
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-53800 Issued in AL
Practice address
1304 13TH Ave SE Ste a
Decatur, AL 35601-4316
Phone
(256) 280-8209
NPI assigned
Sep 3, 2007
Last updated
Dec 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-053800 AL
Family Nurse Practitioner 363LF0000X 1-53800 AL Primary
Occupational Health Nurse Practitioner 363LX0106X 1-053800 AL
Occupational Health Nurse Practitioner 363LX0106X 3008002 KY

Addresses

Primary practice location

1304 13TH Ave SE Ste a
Decatur, AL 35601-4316

Mailing address

2424 Halifax PL SW
Decatur, AL 35601-7337
Phone (256) 280-8209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220103002009 AL Practitioner - Nurse Practitioner 8224429188 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-53800ALMDFamily Nurse Practitioner
1-053800ALMDOccupational Health Nurse Practitioner
3008002KYMDOccupational Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care Clinic, Inc. CurrentSince Dec 14, 2021 Accepting new patients
Family Health Care Clinic, Inc. CurrentSince Dec 14, 2021 Accepting new patients
Gill Family Medicine, P.C. PastSince May 21, 2024 Accepting new patients

Locations

1304 13th Ave SE
Ste A
Decatur, AL 35601
Phone (256) 340-1251

4635 Highway 80 E
Pearl, MS 39208
Phone (601) 502-3009

Interoperability endpoints

  • Direct secure messaging: monica.bush@fhcc.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1188777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1316131345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 HALIFAX PL SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356017337",
            "telephone_number": "256-280-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 13TH AVE SE STE A",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014316",
            "telephone_number": "256-280-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "MONICA",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-03",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-053800",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-53800",
            "primary": true
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "AL",
            "license": "1-053800",
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "KY",
            "license": "3008002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.