Christi L Busenbark, NP
Individual provider Active NPI Nurse Practitioner · Clinton, IN
NPI 1851675664 · NPPES record last updated Jul 19, 2013
Key facts
- NPI
- 1851675664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 71003729A (IN)
- Practice address
- 777 S Main St
Suite 100
Clinton, IN 47842-2493 - Phone
- (765) 828-1003
- Fax
- (765) 828-1030
- NPI assigned
- Sep 29, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Valley Professionals Community Health Center Inc
Practice addresses (Care Compare)
777 S Main St
Suite 100
Clinton, IN 47842-2493
Phone (765) 828-1003
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- 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 |
|---|---|---|---|---|
| I20111129000202 | IN | Practitioner - Nurse Practitioner | 2769656875 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Professionals Community Health Center, Inc. | Current |
Accepting new patients | |
| Valley Professionals Community Health Center Inc | Current |
Accepting new patients | |
| Valley Professionals Community Health Center, Inc. | Current | Accepting new patients |
Locations
703 W Park St
Cayuga, IN 47928
Phone (765) 492-9042
777 S Main St
Ste 100
Clinton, IN 47842
Phone (765) 828-1003
1702 Lafayette Rd
Crawfordsvlle, IN 47933
Phone (765) 362-4400
727 N Lincoln Rd
Rockville, IN 47872
Phone (765) 569-1123
4757 S 7th St
Terre Haute, IN 47802
Phone (812) 234-2289
1530 N 7th St
Ste 201
Terre Haute, IN 47807
Phone (812) 238-7631
601 W National Ave
West Terre Haute, IN 47885
Phone (812) 244-1515
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71003729A | IN | Yes |
Addresses
Primary practice location
777 S Main St
Suite 100
Clinton, IN 47842-2493
Mailing address
PO Box 344
Clinton, IN 47842-0344
Phone (765) 828-1003
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201039780 | Medicaid | IN |
Other names
- Christi L Gregory
Other providers in Clinton, IN
- Christie Blackburn
- Teal Brannan
- Brittany D Gooding DDS PC
- Lisa Jolene Brown Tabor
- Destiny Budd
- Kent Alan Cammack
- Caring Hands Home, LLC
- Miranda Sue Cassity
- Cep America - Neurology PC
- Cep America LLC
All providers in Clinton, IN · Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2013. 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.