Individual provider Active NPI

Mairead Harrington Busic

  • Family Nurse Practitioner
  • Henrico, VA
National Provider Identifier
1740901909
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024185109 Issued in VA
Practice address
11958 W Broad St
Henrico, VA 23233-1007
Phone
(804) 360-4669
Fax
(804) 364-6521
NPI assigned
Sep 7, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCV Associated Physicians 1,779 clinicians

Practice addresses (Care Compare)

1001 E Leigh St
Richmond, VA 23298-5004
Phone (804) 828-7929

Hospital & facility affiliations

  • Vcu Health at Home Health by Bayada Home health agency, Richmond, VA, CCN 497792
  • At Home Care Home health agency, Mechanicsvlle, VA, CCN 497493
  • Mary Washington Home Health Agency Home health agency, Fredericksburg, VA, CCN 497272
  • Medical College of Virginia Hospitals Hospital, Richmond, VA, CCN 490032
  • Sentara Williamsburg Regional Medical Center Hospital, Williamsburg, VA, CCN 490066
  • Sheltering Arms Institute Inpatient rehabilitation facility, Richmond, VA, CCN 493036

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as group
Quality
69.91
Promoting interoperability
99
Improvement activities
40
Cost
77.42

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20230526001845 VA Practitioner - Nurse Practitioner 9436516952 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024185109VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians CurrentSince Apr 2, 2023 Accepting new patients

Locations

11958 W Broad St
Richmond, VA 23233
Phone (804) 360-4669

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

1001 E Leigh St
Richmond, VA 23298
Phone (804) 628-7497

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024185109 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

11958 W Broad St
Henrico, VA 23233-1007

Mailing address

9625 Goneway Dr
Henrico, VA 23238-2901

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0024185109OtherVAVIRGINIA BOARD OF NURSING LICENSE NURSE PRACTITIONER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 31, 2023.

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1740901909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9625 GONEWAY DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232382901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11958 W BROAD ST",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331007",
            "telephone_number": "804-360-4669",
            "fax_number": "804-364-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSIC",
        "first_name": "MAIREAD",
        "middle_name": "HARRINGTON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024185109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA BOARD OF NURSING LICENSE NURSE PRACTITIONER",
            "identifier": "0024185109",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.