Individual provider Active NPI

Shirley J Bushong, CRNP

  • Family Nurse Practitioner
  • Lancaster, PA
National Provider Identifier
1942634050
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP013128 Issued in PA
Practice address
3045 Marietta Ave
Lancaster, PA 17601-1321
Phone
(717) 898-2900
Fax
(717) 898-3275
NPI assigned
Aug 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP013128 PA Primary

Addresses

Primary practice location

3045 Marietta Ave
Lancaster, PA 17601-1321

Mailing address

3045 Marietta Ave
Lancaster, PA 17601-1321
Phone (717) 898-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP013128PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Jul 14, 2014 Accepting new patients
Lancaster General Medical Group CurrentSince Jul 14, 2014 Accepting new patients
Lancaster General Medical Group Current Accepting new patients

Locations

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

2118 Spring Valley Rd
Lancaster, PA 17601
Phone (215) 615-2222

620 Spear St
Oxford, PA 19363
Phone (610) 932-9300

1800 Lombard St
Ste 206
Philadelphia, PA 19146
Phone (215) 615-2222

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1942634050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 MARIETTA AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176011321",
            "telephone_number": "717-898-2900",
            "fax_number": "717-898-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 MARIETTA AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176011321",
            "telephone_number": "717-898-2900",
            "fax_number": "717-898-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHONG",
        "first_name": "SHIRLEY",
        "middle_name": "J",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.