CRYSTAL LYNN BUSHMAN NURSE PRACTITIONER
NPI 1073291696
Nurse Practitioner in Wausau, WI

Q: What is Crystal Bushman's NPI number?

The NPI number for Crystal Bushman is 1073291696. It was assigned to this individual provider in the NPPES registry on July 5, 2023.

Q: What is Crystal Bushman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Crystal Bushman was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 05, 2023PECOS Enrolled

2720 PLAZA DR STE 1100, WAUSAU, WI 54401(715) 847-2472 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Crystal Lynn Bushman Nurse Practitioner NPPES

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

CRYSTAL LYNN BUSHMAN NURSE PRACTITIONER (NPI 1073291696) is an individual nurse practitioner in Wausau, Wisconsin, licensed in Wisconsin (14163-33) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and maintains a secondary practice location in Weston.

NPPES Registry Identity

NPI1073291696

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCRYSTAL LYNN BUSHMANCredential: NURSE PRACTITIONER

Location Address2720 PLAZA DR STE 1100Wausau, WI 54401-4169

Mailing Address184188 Little Wolf RdWittenberg, WI 54499-6052 · (715) 573-5804

Phone(715) 847-2472

Sole ProprietorYes

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2023

Enumeration DateJuly 5, 2023

NPPES CertifiedJuly 5, 2023

✔ NPI 1073291696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 14163-33

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2720 PLAZA DR STE 1100, Wausau, WI 54401

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Secondary Practice Location 1

Location 14005 Community Center DrWeston, WI 54476-4139 · Phone (715) 241-5400

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crystal Lynn Bushman Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799148839

PECOS Enrollment IDI20230823000607

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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

81 services77 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

36 services36 patients

Hospital Affiliations CMS Care Compare

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

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI

4/5 CMS rating

OwnershipProprietary

CMS Certification Number520030

Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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Other Providers at the Same Location NPPES 5

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

LAURA BERRY PA

Physician Assistant