Individual provider Active NPI

Adewale Musiliyu Busari

  • Psychiatric/Mental Health Nurse Practitioner
  • Reno, NV
National Provider Identifier
1942861950
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
823071 Issued in NV
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

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1699018978MedicaidNE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191119002622 NV Practitioner - Nurse Practitioner 0042450033 Reassigns benefits to 3 organizations

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
Medtrans Behavioral Nevada Casal PLLCGroup PAC ID 7810259165, 57 clinicians

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

LicenseStateTypeSpecialty
823071NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Touch Home Health Care LLC CurrentSince Apr 25, 2012 Accepting new patients
Homebase Care Casal PLLC CurrentSince Jun 1, 2021 Accepting new patients
Medtrans Medical Nevada Casal PLLC Current Accepting new patients
Medtrans Behavioral Nevada Casal, PLLC CurrentSince Nov 6, 2020 Accepting new patients
Alliance Mental Health Specialists Suba Park Cheng PLLC CurrentSince Nov 21, 2023 Accepting new patients
Homebase Care Casal PLLC CurrentSince Jun 1, 2021 Accepting new patients
Medtrans Reno Casal PLLC CurrentSince Nov 6, 2020 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.

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

Verify at the official NPI Registry.