Active NPI
Kacey Rice Busque, NNP
- Neonatal Nurse Practitioner
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 14684-33
- Practice address
- 700 S Park St
Madison, WI 53715-1830 - Phone
- (931) 993-5073
- NPI assigned
- Oct 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | 187805 | TN | |
| Neonatal Nurse Practitioner | 363LN0000X | 4704380497 | MI | |
| Neonatal Nurse Practitioner | 363LN0000X | 14684-33 | WI | Primary |
Addresses
Primary practice location
700 S Park St
Madison, WI 53715-1830
Mailing address
11228 N Mason Dr
Edgerton, WI 53534-8554
Phone (931) 993-5073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 187805 | TN | MD | Neonatal Intensive Care Registered Nurse |
| 4704380497 | MI | MD | Neonatal Nurse Practitioner |
| 14684-33 | WI | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agnesian Healthcare, Inc | Current | Accepting new patients | |
| Agnesian Healthcare Inc | Current | Accepting new patients | |
| Agnesian Healthcare Inc | Current | Accepting new patients | |
| Pediatrix Medical Group of Michigan PC | Past | Accepting new patients |
Locations
430 E Division St
Fond du Lac, WI 54935
Phone (920) 926-4200
420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
700 S Park St
Madison, WI 53715
Phone (608) 260-2900
360 S Mountin Dr
Mayville, WI 53050
Phone (920) 387-2111
620 W Brown St
Waupun, WI 53963
Phone (920) 324-5581
Interoperability endpoints
- kbusque498216@direct-ehr-ssmhc.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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Fond Du Lac, WI
- NPI 1346228541
-
- Community/Retail Pharmacy
- Waupun, WI
- NPI 1366417917
-
- Family Medicine Physician
- Fond Du Lac, WI
- NPI 1730162991
-
- Neonatal-Perinatal Medicine Physician
- Sunrise, FL
- NPI 1720185432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1508408089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11228 N MASON DR",
"city": "EDGERTON",
"state": "WI",
"postal_code": "535348554",
"telephone_number": "931-993-5073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S PARK ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537151830",
"telephone_number": "931-993-5073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSQUE",
"first_name": "KACEY",
"middle_name": "RICE",
"credential": "NNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-16",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal Intensive Care",
"state": "TN",
"license": "187805",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "MI",
"license": "4704380497",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "WI",
"license": "14684-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.