Individual provider Active NPI

Sheila Kaye Busch, FNP-C

  • Family Nurse Practitioner
  • Prescott, AZ
National Provider Identifier
1619445814
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
219006 Issued in AZ
Practice address
1672 Oaklawn Dr
Prescott, AZ 86305-1106
Phone
(928) 445-5339
NPI assigned
Nov 6, 2018
Last updated
Nov 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 219006 AZ Primary

Addresses

Primary practice location

1672 Oaklawn Dr
Prescott, AZ 86305-1106

Mailing address

1672 Oaklawn Dr
Prescott, AZ 86305-1106
Phone (928) 445-5339

Other practice location 1

7875 E Florentine Rd Ste A
Prescott Valley, AZ 86314-2284
Phone (928) 443-5599

Other identifiers 1

IdentifierTypeStateIssuer
219006OtherAZAPRN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20190226002753 AZ Practitioner - Nurse Practitioner 8426397043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infinity Family WellnessGroup PAC ID 7517206139, 2 clinicians

Practice addresses (Care Compare)

1672 Oaklawn Dr
Prescott, AZ 86305-1106
Phone (928) 445-5339

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219006AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Behavioral Health of Az, LLC Past Accepting new patients
Summit Behavioral Health of Arizona Past Accepting new patients
Cornerstone Pediatrics, P.C. Past Accepting new patients

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1619445814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1672 OAKLAWN DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051106",
            "telephone_number": "928-445-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 OAKLAWN DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051106",
            "telephone_number": "928-445-5339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7875 E Florentine Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863142284",
            "country_code": "US",
            "telephone_number": "928-443-5599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSCH",
        "first_name": "SHEILA",
        "middle_name": "KAYE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "219006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "219006",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.