NPIMap

Individual provider Active NPI

Jamie L Bush, CRNP

  • Nurse Practitioner
  • State College, PA
National Provider Identifier
1699289330
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP018120 Issued in PA
Practice address
239 Colonnade Blvd FL 2
State College, PA 16803-2668
Phone
(814) 375-3770
NPI assigned
Nov 16, 2017
Last updated
Sep 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP018120 PA Primary
Family Medicine Physician 207Q00000X SP018120 PA

Addresses

Primary practice location

239 Colonnade Blvd FL 2
State College, PA 16803-2668

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbush229269@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180221001869 PA Practitioner - Nurse Practitioner 8729349485 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians

Practice addresses (Care Compare)

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-3770

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Family Medicine CurrentSince Nov 4, 2019 Accepting new patients
Geisinger Clinic Family Medicine Current Accepting new patients
J C Blair Memorial Hospital Current Accepting new patients
Mature Resources Foundation Family Medicine CurrentSince May 22, 2021 Accepting new patients
J C Blair Memorial Hospital Family Medicine CurrentSince Jun 27, 2025 Accepting new patients
Geisinger Clinic CurrentSince Nov 4, 2019 Accepting new patients
J C Blair Memorial Hospital CurrentSince Jun 27, 2025 Accepting new patients
Dubois Regional Medical Center Nurse Practitioner CurrentSince Jun 27, 2025 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Jul 10, 2023 Accepting new patients
Direct Workforce Health Clinic LLC Current Accepting new patients
Wellnow Urgent Care Practice, PC PastSince Jul 10, 2023 Accepting new patients
JC Blair Memorial Hospital Past Accepting new patients

Locations

174 Buckaroo Ln
Bellefonte, PA 16823
Phone (814) 353-1030

26 Bolivar Dr
Bradford, PA 16701
Phone (814) 817-4690

100 N Academy Ave
Danville, PA 17822

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

123 Hospital Ave
Dubois, PA 15801
Phone (814) 371-1510

621 S Main St
#Q
Dubois, PA 15801
Phone (814) 299-7520

28944 Frenchville Karthaus Hwy
Frenchville, PA 16836
Phone (814) 765-2695

1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206

271 Railroad St
Philipsburg, PA 16866
Phone (814) 342-1872

1100 Million Dollar Hwy
Saint Marys, PA 15857
Phone (814) 781-5435

239 Colonnade Blvd
Fl 2
State College, PA 16803
Phone (582) 220-2215

239 Colonnade Blvd
Ste 2
State College, PA 16803
Phone (814) 371-6501

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1699289330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 COLONNADE BLVD FL 2",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032668",
            "telephone_number": "814-375-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "JAMIE",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP018120",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP018120",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbush229269@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "174 Buckaroo Ln",
            "city": "Bellefonte",
            "state": "PA",
            "country_code": "US",
            "postal_code": "168239119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.