Individual provider Active NPI

Susan Lynne Bushinski, DNP

  • Family Nurse Practitioner
  • Belleville, MI
National Provider Identifier
1477893105
Registry record updated Feb 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704256515 Issued in MI
Practice address
44697 Greenbriar Dr
Belleville, MI 48111-5162
Phone
(734) 740-0598
NPI assigned
Feb 16, 2013
Last updated
Feb 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704256515 MI Primary
Family Nurse Practitioner 363LF0000X 0024164425 VA

Addresses

Primary practice location

44697 Greenbriar Dr
Belleville, MI 48111-5162

Mailing address

44697 Greenbriar Dr
Belleville, MI 48111-5162
Phone (734) 740-0598

Other identifiers 2

IdentifierTypeStateIssuer
0024164425OtherVAVIRGINIA BOARD OF NURSING
4704256515OtherMIMICHIGAN BOARD OF NURSING

Other names 1

  • Susan Lynne Barr Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250221003283 MI Practitioner - Nurse Practitioner 7517487416 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians
Complexcare Medical Group Midwest H PLLCGroup PAC ID 0143737148, 128 clinicians

Practice addresses (Care Compare)

1390 Maple Dr
Fairview, MI 48621-8703
Phone (248) 660-1220

703 Robinson Rd
Jackson, MI 49203-2538
Phone (517) 787-5140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024164425VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Midwest H PLLC CurrentSince Aug 14, 2025 Accepting new patients
Theoria Medical CurrentSince Dec 15, 2024 Accepting new patients
Planas and Associates,MD,PC Past Accepting new patients
Sentara Life Care Corporation Past Accepting new patients
Wellbridge of Clarkston, LLC Past Accepting new patients
Integrated Medical Services PLC Past Accepting new patients

Locations

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700

1390 Maple Dr
Fairview, MI 48621
Phone (989) 848-2241

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

703 Robinson Rd
Jackson, MI 49203
Phone (517) 787-0722

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

249 S Newtown Rd
Norfolk, VA 23502
Phone (757) 427-4700

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, 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": "1360972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360972800000",
    "number": "1477893105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44697 GREENBRIAR DR",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481115162",
            "telephone_number": "734-740-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44697 GREENBRIAR DR",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481115162",
            "telephone_number": "734-740-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHINSKI",
        "first_name": "SUSAN",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-16",
        "last_updated": "2013-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704256515",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024164425",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA BOARD OF NURSING",
            "identifier": "0024164425",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN BOARD OF NURSING",
            "identifier": "4704256515",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BARR",
            "middle_name": "LYNNE",
            "credential": "DNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Belleville, MI

Sources for this page

Verify at the official NPI Registry.