Krista Marie Bush, FNP-C
Individual provider Active NPI Nurse Practitioner · Meridian, ID
NPI 1902364995 · NPPES record last updated Apr 6, 2026
Key facts
- NPI
- 1902364995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 5571090 (ID)
- Practice address
- 1648 NW 1St St
Meridian, ID 83642-2212 - Phone
- (208) 888-9393
- Fax
- (208) 888-9525
- NPI assigned
- Mar 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alliance Medical Group LLC
Practice addresses (Care Compare)
1648 NW 1St St
Meridian, ID 83642-2212
Phone (208) 888-9393
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- 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 |
|---|---|---|---|---|
| I20260423000968 | ID | Practitioner - Nurse Practitioner | 5597232926 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5571090 | ID | MD | Nurse Practitioner |
| NP95037424 | CA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP95037424 | CA | |
| Nurse Practitioner |
363L00000X | 5571090 | ID | Yes |
Addresses
Primary practice location
1648 NW 1St St
Meridian, ID 83642-2212
Mailing address
10482 W Carlton Bay Dr
Garden City, ID 83714-5143
Phone (208) 955-6500
Other practice location 1
31872 Coast Hwy
Laguna Beach, CA 92651-6773
Phone (949) 499-2002
Other names
- Krista Marie Stone
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2026. 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.