Elizabeth Ann Bush, AUD
Individual provider Active NPI Audiologist · Herrin, IL
NPI 1609217850 · NPPES record last updated Apr 29, 2026
Key facts
- NPI
- 1609217850
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 147001797 (IL)
- Practice address
- 3316 Patriot CT
Herrin, IL 62948-3782 - Phone
- (618) 993-0307
- Fax
- (618) 351-4862
- NPI assigned
- Jul 16, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Illinois Medical Services NFP
Practice addresses (Care Compare)
3316 Patriot CT
Herrin, IL 62948-3782
Phone (618) 993-0307
Merit-based Incentive Payment System (MIPS)
- Final score
- 82 of 100
- Quality
- 55.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.01
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200929003603 | IL | Practitioner - Qualified Audiologist | 2567606619 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147001797 | IL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Illinois Medical Services, NFP | Current |
Accepting new patients | |
| St. Joseph Institute for the Deaf Indiana Service Corporation | Past | Accepting new patients | |
| St. Joseph Institute for the Deaf | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| St. Joseph Institute for the Deaf | Audiologist | Past | Accepting new patients |
Locations
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
3316 Patriot Ct
Herrin, IL 62948
Phone (618) 993-0307
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 147001797 | IL | Yes |
Addresses
Primary practice location
3316 Patriot CT
Herrin, IL 62948-3782
Mailing address
PO Box 3988
Carbondale, IL 62902-3988
Phone (618) 457-5200
Other practice location 1
2601 W Main St
Carbondale, IL 62901-1031
Phone (618) 549-5361
Other names
- Elizabeth Ann Welch
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ebush40467@sih.direct-ci.com | ||
| Direct Messaging Address | ebush40467@sih.direct-ci.com |
Other providers in Herrin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.