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

Q: What is Kelly Bush's NPI number?

The NPI number for Kelly Bush is 1053778787. It was assigned to this individual provider in the NPPES registry on January 26, 2016.

Q: What is Kelly Bush's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Bush was last updated on November 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 09, 2026.

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

On this page

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

Phone(816) 531-4080

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

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City.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 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

Quality

73.71

Promoting Interoperability

100

Improvement Activities

Cost

50.58

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.

DR. IRENE E BETTINGER M.D.

Psychiatry & Neurology (Neurology)

4400 BROADWAY, SUITE 520
KANSAS CITY, MO 64111

Jackson County (816) 531-4080

SUSAN SIFERS M.D.

Psychiatry & Neurology (Neurology)

4400 BROADWAY, STE. 520
KANSAS CITY, MO 64111

Jackson County (816) 531-4080

MRS. DIANE ELIZABETH WEINTRAUB R.PH.

Pharmacist

4400 BROADWAY, SUITE 106
KANSAS CITY, MO 64111

Jackson County (816) 931-0100

SETH MARCUS OLIPHANT M.D.

Physical Medicine & Rehabilitation (Sports Medicine)

4400 BROADWAY, SUITE 540
KANSAS CITY, MO 64111

Jackson County (816) 931-3013

DR. CHARLES L WEINSTEIN M.D.

Psychiatry & Neurology (Neurology)

4400 BROADWAY, SUITE 520
KANSAS CITY, MO 64111

Jackson County (816) 531-4080

SLNC INC

Psychiatry & Neurology (Neurology)

4400 BROADWAY, SUITE 520
KANSAS CITY, MO 64111

Jackson County (816) 531-4080

LABORATORY CORPORATION OF AMERICA HOLDINGS

Clinical Medical Laboratory

4400 BROADWAY, SUITE 302
KANSAS CITY, MO 64111

Jackson County (816) 756-5047

MRS. CATHERINE POGSON LEWIS MSN, CPNP

Nurse Practitioner

4400 BROADWAY, SUITE 206
KANSAS CITY, MO 64111

Jackson County (816) 561-8100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Bush's NPI number?

The NPI number for Kelly Bush is 1053778787. It was assigned to this individual provider in the NPPES registry on January 26, 2016.

Where is Kelly Bush located?

Kelly Bush practices at 4400 Broadway Suite 520, Kansas City, MO 64111. The listed phone number is (816) 531-4080.

What is Kelly Bush's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Kelly Bush enrolled in Medicare?

Yes. Kelly Bush is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Bush accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Kelly Bush as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelly Bush affiliated with any hospitals?

According to CMS data, Kelly Bush is affiliated with Saint Lukes North Hospital and St Lukes Hospital Of Kansas City.

When was this NPI record last updated?

The NPPES record for Kelly Bush was last updated on November 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.