Active NPI
Michelle Marie Rushby, NURSE PRACTITIONER
- Family Nurse Practitioner
- Peru, NY
National Provider Identifier
1831862663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 347961
- 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
- Last updated
- Oct 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 347961 | NY | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- micheller@adkprac.medentdirect.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Peru, NY
- NPI 1518136001
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plattsburgh, NY
- NPI 1033270699
-
dba Elizabethtown Community Hospital Transport
- Ambulance
- Elizabethtown, NY
- NPI 1487923637
Hospital
-
- Critical Access Hospital
- Elizabethtown, NY
- NPI 1891785184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664668800000",
"number": "1831862663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3384 STATE ROUTE 22 STE 3",
"city": "PERU",
"state": "NY",
"postal_code": "129725305",
"telephone_number": "518-643-8008",
"fax_number": "518-643-8090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3384 STATE ROUTE 22 STE 3",
"city": "PERU",
"state": "NY",
"postal_code": "129725305",
"telephone_number": "518-643-8008",
"fax_number": "518-643-8090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSHBY",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-28",
"last_updated": "2022-10-02",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "347961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peru, NY
- Christina Lee Perry, RN
- Peru Central School District
- Peru Family Medicine, PLLC (Peru Family Healthcare)
- Peru Pharmacy Inc. (Peru Healthmart Pharmacy)
- Alison Rosenbaum, LMHC
- Brittany Patinka Saunders, RN
- Shady Grove Farm and Wellness Center
- Lawrence Kenneth Shanley, PHARM. D
- Lawrence Ketrick Shanley, RPH
- David W Smith, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.