Mariela Petrova Busheva, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

262137 Issued in NC

Practice address

16415 Northcross Dr Ste B
Huntersville, NC 28078-5001

Phone

(704) 775-6029

Fax

(704) 413-3198

NPI assigned

Apr 9, 2018

Last updated

Jan 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Caromont Medical Group Inc

  • Family Medicine Physician
  • Gastonia, NC
  • NPI 1356314272
  Medicare reassignment NPD
• Caromont Medical Group Inc

  • Family Medicine Physician
  • Stanley, NC
  • NPI 1972301380
  NPD
• Caromont Medical Group, Inc.

  dba CaroMont Inpatient Physicians

  • Hospitalist Physician
  • Gastonia, NC
  • NPI 1912188939
  NPD

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1407353253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16415 NORTHCROSS DR STE B",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785001",
            "telephone_number": "704-775-6029",
            "fax_number": "704-413-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16415 NORTHCROSS DR STE B",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785001",
            "telephone_number": "704-775-6029",
            "fax_number": "704-413-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHEVA",
        "first_name": "MARIELA",
        "middle_name": "PETROVA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "262137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Burkhard
• Jerrell Everton Burnett
• Taylor Burris, BCBA
• Jack Burton
• Carrie E Bush, MSN, FNP
• Valerie J Bustamante
• Karen Elizabeth Butler, LPA
• Julia Butlin, M.S, CCC-SLP
• C. Bo Counseling (High Rise Wellness)
• Ami Marie Caban, PA

• Family Nurse Practitioner in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.

Verify at the official NPI Registry.