Joseph John Bartush, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

28164929A Issued in IN

Practice address

1540 Trinity PL
Mishawaka, IN 46545-5006

Phone

(574) 272-9000

Fax

(574) 272-9010

NPI assigned

Apr 7, 2015

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1780070755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 TRINITY PL",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465455006",
            "telephone_number": "574-272-9000",
            "fax_number": "574-272-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 TRINITY PL",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465455006",
            "telephone_number": "574-272-9000",
            "fax_number": "574-272-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTUSH",
        "first_name": "JOSEPH",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28164929A",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "71005447A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF NURSING APN PRESCRIPTIVE AUTHORITY",
            "identifier": "71005447A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nikole Suzanne Barrett, R.D.N., C.D.
• Barroso Therapy Services LLC
• Lacey Barroso, MSW
• Thomas Barry, DO
• Jack S. Bartoszek, D.O.
• Lauryn Aeriana Baumgartner, RBT
• Kevin Ray Baxter, D.O.
• Stephanie Marie Baxter, O.D.
• Hassan Samir Baydoun, PMHNP
• Beacon Health, LLC (Beacon Imaging Mishawaka)

• Family Nurse Practitioner in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.