KELLY BUSH APN
NPI 1053778787
Nurse Practitioner - Gerontology in Kansas City, MO

Active since January 26, 2016PECOS EnrolledAccepts Medicare Assignment
77.28/100
CMS Quality Rating
4400 BROADWAY, SUITE 520, KANSAS CITY, MO 64111(816) 531-4080(816) 531-0281 Get Directions Write a Review

NPPES record last updated: November 15, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 15, 2017, Jan 26, 2016 (2 updates tracked since 2016).

About Kelly Bush Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY BUSH APN (NPI 1053778787) is an individual gerontology provider in Kansas City, Missouri, licensed in Missouri (2016000625) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, is affiliated with Saint Lukes North Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1053778787
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKELLY BUSHCredential: APN
Location Address4400 BROADWAY, SUITE 520Kansas City, MO 64111-3498
Mailing Address901 E 104th St, Mailstop 400Kansas City, MO 64131 · (816) 599-9499 · Fax (816) 932-9670
Fax(816) 531-0281
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 26, 2016
Last NPPES UpdateNovember 15, 20172 updates tracked since enumeration
NPI 1053778787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in MO · 2016000625
4400 BROADWAY, Kansas City, MO 64111

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelly Bush Apn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365746930
PECOS Enrollment IDI20160203000360, I20260331000624
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
47 services35 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
27 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services23 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Lukes North Hospital

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260062
Location5830 N W Barry RoadKansas City, MO 64154 · Platte County
Emergency services Birthing friendly

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260138
Location4401 Wornall RoadKansas City, MO 64111 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.71
Promoting Interoperability100
Improvement Activities40
Cost50.58

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
4400 BROADWAY, SUITE 520
KANSAS CITY, MO 64111
Psychiatry & Neurology (Psychiatry)
4400 BROADWAY, SUITE 407
KANSAS CITY, MO 64111
Urology
4400 BROADWAY, SUITE # 412
KANSAS CITY, MO 64111
Psychiatry & Neurology (Neurology)
4400 BROADWAY, SUITE 520
KANSAS CITY, MO 64111
Psychiatry & Neurology (Neurology)
4400 BROADWAY, SUITE 520
KANSAS CITY, MO 64111
Family Medicine
4400 BROADWAY, SUITE 400
KANSAS CITY, MO 64111
Social Worker
4400 BROADWAY, STE. 520
KANSAS CITY, MO 64111
Clinical Medical Laboratory
4400 BROADWAY, SUITE 302
KANSAS CITY, MO 64111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053778787, enumerated as an "individual" on January 26, 2016.

The provider is located at 4400 BROADWAY SUITE 520 KANSAS CITY, MO 64111 and the phone number is (816) 531-4080.

Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas City. Please consult your insurance carrier or call the provider to verify.

Kelly Bush is affiliated with: SAINT LUKES NORTH HOSPITAL and ST LUKES HOSPITAL OF KANSAS CITY.