Blake Ron Busey, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OP61205149 Issued in WA

Practice address

1800 Cooks Hill Rd Ste F
Centralia, WA 98531-9162

Phone

(360) 669-0335

Fax

(360) 736-2967

NPI assigned

Jul 8, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, WA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific County Hospital District 2Group PAC ID 8224939301, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Harbors Home Health / Hospice Home health agency, Hoquiam, WA, CCN 507020
• Willapa Harbor Hospital Hospital, South Bend, WA, CCN 501303
• Grays Harbor Community Hospital Hospital, Aberdeen, WA, CCN 500031
• Providence Centralia Hospital Hospital, Centralia, WA, CCN 500019

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: blake.buseydo.p1@direct.valleyviewhc.nextgenshare.com
• Direct secure messaging: bbusey857070@direct.multicare.org

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.

• Pacific County Hospital District 2

  • Critical Access Hospital
  • South Bend, WA
  • NPI 1295708683

  WA

  Medicare reassignment Care Compare group NPD
• Lewis County Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Chehalis, WA
  • NPI 1134164692

  WA

  Medicare reassignment NPD
• Texas Tech University Health Sciences Center El Paso

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1598705055

  TX

  Medicare reassignment NPD
• Pacific County Hospital District 2

  • Rural Health Clinic/Center
  • South Bend, WA
  • NPI 1760582522

  Family Medicine

  Care Compare group NPD
• Lewis County Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Onalaska, WA
  • NPI 1659631141
  NPD
• Lewis County Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Centralia, WA
  • NPI 1811669658
  NPD
• Texas Tech University Health Sciences Center El Paso

  • Psychiatry Physician
  • El Paso, TX
  • NPI 1124047295
  NPD
• Texas Tech University Health Sciences Center El Paso

  • Neurological Surgery Physician
  • El Paso, TX
  • NPI 1457913444
  NPD
• Lewis County Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Pe Ell, WA
  • NPI 1548520059
  NPD (past)

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

• Grays Harbor Community Hospital

  • General Acute Care Hospital
  • Aberdeen, WA
  • NPI 1154378859

  Hospital

  Care Compare affiliation
• Harbors Home Health & Hospice

  • Home Health Agency
  • Hoquiam, WA
  • NPI 1699777276
  Care Compare affiliation
• Pacific County Hospital District 2

  • Critical Access Hospital
  • South Bend, WA
  • NPI 1295708683

  Hospital

  Care Compare affiliation
• Providence Health & Services Washington

  • General Acute Care Hospital
  • Centralia, WA
  • NPI 1376624981

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1639466873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 NE KRESKY AVE",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985322412",
            "telephone_number": "360-330-9543",
            "fax_number": "360-330-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COOKS HILL RD STE F",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319162",
            "telephone_number": "360-669-0335",
            "fax_number": "360-736-2967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 N Main Street",
            "address_purpose": "LOCATION",
            "city": "Pe Ell",
            "state": "WA",
            "postal_code": "985729900",
            "country_code": "US",
            "telephone_number": "360-291-3232",
            "fax_number": "360-291-3144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSEY",
        "first_name": "BLAKE",
        "middle_name": "RON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-08",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP61205149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2221982",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig Michael Burger, M.D.
• Shaylee Rae Burgess
• Curtis Dean Burghart, O.D.
• Jennalyn Burke
• Leanne K Burkhalter-Eko
• Kristi Joy Bushell, COTA/L
• Dianna Bustos
• Katrina Lyn Buswell, M.A., AAC
• Ritu Kaur Buttar
• Lacey Buzzard, CPSST

• All providers in Centralia, WA
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.