Active NPI
Adewale Musiliyu Busari
- Psychiatric/Mental Health Nurse Practitioner
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 823071
- Practice address
- 6880 S McCarran Blvd Ste 14
Reno, NV 89509-6129 - Phone
- (775) 393-9101
- Fax
- (775) 403-1799
- NPI assigned
- Jun 21, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 823071 | NV | Primary |
Addresses
Primary practice location
6880 S McCarran Blvd Ste 14
Reno, NV 89509-6129
Mailing address
6880 S McCarran Blvd Ste 14
Reno, NV 89509-6129
Phone (775) 393-9101
Other practice location 1
4270 S Decatur Blvd Ste B6
Las Vegas, NV 89103-6802
Phone (702) 485-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699018978 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- 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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
850 Mill St
Suite 100
Reno, NV 89502-1463
Phone (775) 538-6700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 823071 | NV | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Touch Home Health Care LLC | Current | Accepting new patients | |
| Homebase Care Casal PLLC | Current | Accepting new patients | |
| Medtrans Medical Nevada Casal PLLC | Current | Accepting new patients | |
| Medtrans Behavioral Nevada Casal, PLLC | Current | Accepting new patients | |
| Alliance Mental Health Specialists Suba Park Cheng PLLC | Current | Accepting new patients | |
| Homebase Care Casal PLLC | Current | Accepting new patients | |
| Medtrans Reno Casal PLLC | Current | Accepting new patients |
Locations
3312 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 410-7825
4270 S Decatur Blvd
Ste B6
Las Vegas, NV 89103
Phone (702) 485-2100
5412 Boulder Hwy
Las Vegas, NV 89122
6880 S McCarran Blvd
Ste 14
Reno, NV 89509
Phone (702) 485-2100
890 Mill St
Fl 4
Reno, NV 89502
890 Mill St
Ste 300
Reno, NV 89502
Phone (775) 323-5566
850 Mill St
Ste 100
Reno, NV 89502
Phone (775) 982-3950
Organizations & group practices 7
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.
-
- Community/Behavioral Health Agency
- Reno, NV
- NPI 1245781160
-
- Psychiatry Physician
- Las Vegas, NV
- NPI 1275988107
-
- Community Health Clinic/Center
- Las Vegas, NV
- NPI 1750846549
-
- Home Health Agency
- Omaha, NE
- NPI 1699018978
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1659836443
-
- Community/Behavioral Health Agency
- Reno, NV
- NPI 1942863253
-
- Community/Behavioral Health Agency
- Reno, NV
- NPI 1821505165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570406400000",
"number": "1942861950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6880 S MCCARRAN BLVD STE 14",
"city": "RENO",
"state": "NV",
"postal_code": "895096129",
"telephone_number": "775-393-9101",
"fax_number": "775-403-1799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6880 S MCCARRAN BLVD STE 14",
"city": "RENO",
"state": "NV",
"postal_code": "895096129",
"telephone_number": "775-393-9101",
"fax_number": "775-403-1799"
}
],
"practiceLocations": [
{
"address_1": "4270 S Decatur Blvd Ste B6",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891036802",
"country_code": "US",
"telephone_number": "702-485-2100",
"fax_number": "702-825-0091",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSARI",
"first_name": "ADEWALE",
"middle_name": "MUSILIYU",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-21",
"last_updated": "2019-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NV",
"license": "823071",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1699018978",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.