Busanda Lee Frost, ARNP
Individual provider Active NPI Family Nurse Practitioner · Sanders, AZ
NPI 1801040548 · NPPES record last updated Apr 11, 2023
Key facts
- NPI
- 1801040548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2248032 (FL)
- Practice address
- Chiih'Toh Blvd Industrial BLDG
Sanders, AZ 86512-0125 - Phone
- (928) 688-5600
- NPI assigned
- Nov 7, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Fort Defiance Indian Hospital Board, Incorporation
Practice addresses (Care Compare)
Corner of Route N12 and N7
Fdihb Inc.
Fort Defiance, AZ 86504-0649
Phone (928) 729-8082
PO Box
Suite 649
Fort Defiance, AZ 86504-0649
Hospital & facility affiliations
- Fort Defiance Indian Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20220420001248 | TX | Practitioner - Nurse Practitioner | 0648667782 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2248032 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Fort Defiance Indian Hospital Board, Incorporation | Current |
Accepting new patients | |
| The Fort Defiance Indian Hospital Board, Incorporation | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2248032 | FL | Yes |
Addresses
Primary practice location
Chiih'Toh Blvd Industrial BLDG
Sanders, AZ 86512-0125
Mailing address
PO Box 649
Fort Defiance, AZ 86504-0649
Other providers in Sanders, AZ
- Bruvvers Transport
- Client Centered Care Foundation Inc
- Client Centered Care, PLLC
- Carrie Anne Compton
- Kirby David
- Michelle Kahn-John
- Shandina Manycows
- Marvin R Martine
- Newlands Outpatient Treatment Center
- Northern Apache County Special Health Care District
All providers in Sanders, AZ · Family Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2023. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.