Amy Beth Bush, CRNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Feasterville Trevose, PA
NPI 1780167940 · NPPES record last updated Oct 15, 2018
Key facts
- NPI
- 1780167940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- SP019362 (PA)
- Practice address
- 4610 E Street Rd
Feasterville Trevose, PA 19053-6612 - Phone
- (610) 647-0330
- Fax
- (267) 495-1707
- NPI assigned
- Sep 12, 2018
- Reactivated
- Oct 10, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190411001721 | PA | Practitioner - Nurse Practitioner | 5294076659 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN545080 | PA | MD | Psychiatric/Mental Health Registered Nurse |
| SP019362 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warminster Wellness, LLC | Current | Accepting new patients | |
| Springfield Psychological PC | Current |
Accepting new patients | |
| HR Physician Services | Current |
Accepting new patients | |
| Freedom Behavioral Healthcare | Past | Accepting new patients |
Locations
727 Welsh Rd
Ste 202
Huntingdon Vy, PA 19006
Phone (215) 914-2119
1489 Baltimore Pike
Ste 250
Springfield, PA 19064
Phone 6105442110144
4610 E Street Rd
Trevose, PA 19053
Phone (215) 364-3299
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN545080 | PA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP019362 | PA | Yes |
Addresses
Primary practice location
4610 E Street Rd
Feasterville Trevose, PA 19053-6612
Mailing address
240 Fitzwatertown Rd
Willow Grove, PA 19090-2332
Phone (610) 647-0330
Other practice location 1
4612 E Street Rd
Trevose, PA 19053-6612
Phone (610) 647-0330
Other practice location 2
240 Fitzwatertown Rd
Willow Grove, PA 19090-2332
Phone (610) 647-0330 ext. 2259
Other providers in Feasterville Trevose, PA
- Adina Braun
- Milada Bresler
- Jessica Brighton
- Bruce E Genter MD Facs PC
- Irina Burskii
- Emily Jane Butterworth
- Michelle R Cairns
- Mark Gerard Capirano
- Marisa Capriotti
- Carebridge Home Health Services LLC
All providers in Feasterville Trevose, PA · Psychiatric/Mental Health Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.