Michelle Marie Rushby, NURSE PRACTITIONER
Individual provider Active NPI Family Nurse Practitioner · Peru, NY
NPI 1831862663 · NPPES record last updated Oct 2, 2022
Key facts
- NPI
- 1831862663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 347961 (NY)
- Practice address
- 3384 State Route 22 Ste 3
Peru, NY 12972-5305 - Phone
- (518) 643-8008
- Fax
- (518) 643-8090
- NPI assigned
- Jul 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adirondack Medical Practice LLC
Practice addresses (Care Compare)
3384 State Route 22
Suite 3
Peru, NY 12972
3384 State Route 22
Suite 3
Peru, NY 12972-5305
Phone (518) 643-8008
Hospital & facility affiliations
- HCR / HCR Home Care Chha (Plattsburgh)
- The University of Vermont Health Network - Champl
- Elizabethtown Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.88 of 100
- Quality
- 71.44
- Promoting interoperability
- 97.95
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20211028001514 | NY | Practitioner - Nurse Practitioner | 8325436058 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 347961 | NY | MD | Family Nurse Practitioner |
Interoperability endpoints
- micheller@adkprac.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 347961 | NY | Yes |
Addresses
Primary practice location
3384 State Route 22 Ste 3
Peru, NY 12972-5305
Mailing address
3384 State Route 22 Ste 3
Peru, NY 12972-5305
Phone (518) 643-8008
Other providers in Peru, NY
- Christina Lee Perry
- Peru Central School District
- Peru Family Medicine, PLLC
- Peru Pharmacy Inc.
- Alison Rosenbaum
- Brittany Patinka Saunders
- Shady Grove Farm and Wellness Center
- Lawrence Kenneth Shanley
- Lawrence Ketrick Shanley
- David W Smith
All providers in Peru, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2022. 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.