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NICOLE ANTOINETTE BUSCH MSN, APRN, AGCNS-BC
NPI 1073985446
Clinical Nurse Specialist - Adult Health in Austin, TX

Active since October 26, 2015PECOS EnrolledAccepts Medicare Assignment
69.75/100
CMS Quality Rating
4100 DUVAL RD, BLDG III SUITE 200, AUSTIN, TX 78759(512) 485-7200(512) 485-7224 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 26, 2021, Nov 19, 2019, Dec 4, 2018 and 1 more (4 updates tracked since 2016).

About Nicole Antoinette Busch Msn, Aprn, Agcns-bc NPPES

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

NICOLE ANTOINETTE BUSCH MSN, APRN, AGCNS-BC (NPI 1073985446) is an individual adult health provider in Austin, Texas, licensed in Texas (AP128977) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Central Texas, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1073985446
Entity TypeIndividualFemale
Primary Taxonomy364SA2200X
Provider Legal NameNICOLE ANTOINETTE BUSCHCredential: MSN, APRN, AGCNS-BC
Location Address4100 DUVAL RD, BLDG III SUITE 200Austin, TX 78759
Mailing Address2000 S Mays St Ste 201Round Rock, TX 78664-7580 · (512) 244-4272 · Fax (512) 244-2895
Phone(512) 485-7200
Fax(512) 485-7224
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 26, 2015
Last NPPES UpdateFebruary 26, 20214 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2021
✔ NPI 1073985446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2200X
License✔ Licensed in TX · AP128977
4100 DUVAL RD, Austin, TX 78759
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 Texas, Oscar Insurance Company.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

Nicole Antoinette Busch Msn, Aprn, Agcns-bc 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 ID9638471683
PECOS Enrollment IDI20160107000871
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
320 services81 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services17 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Central Texas

Acute Care Hospitals · Killeen, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450152
Location2201 S Clear Creek RoadKilleen, TX 76542 · Bell County
Emergency services Birthing friendly

Seton Medical Center Harker Heights

Acute Care Hospitals · Harker Heights, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670080
Location850 W Central Texas ExpresswayHarker Heights, TX 76548 · Bell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78759 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

69.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.27
Promoting Interoperability99
Improvement Activities40
Cost31.74

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.

MICHELLE A BERGER MD
Ophthalmology
4100 DUVAL RD, BLDG 4 STE 205
AUSTIN, TX 78759
Travis County (512) 997-7750
CELESTE SHEPPARD, M.D., P.A.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
4100 DUVAL RD, BUILDING II, SUITE 201
AUSTIN, TX 78759
Travis County (512) 339-1010
ROBERT S YOUNG PH.D.
Medical Genetics, Ph.D. Medical Genetics
4100 DUVAL RD, BUILDING 2, SUITE 201
AUSTIN, TX 78759
Travis County (512) 339-1010
ROSWITHA DOWELL CPM
Advanced Practice Midwife
4100 DUVAL RD, SUITE 101, BLDNG 2
AUSTIN, TX 78759
Travis County (512) 346-3224
JEAN E STOKES RN,CPM
Advanced Practice Midwife
4100 DUVAL RD, SUITE 101, BLDNG 2
AUSTIN, TX 78759
Travis County (512) 346-3224
AGI COUNSELING SERVICES INC
Medical Genetics, Ph.D. Medical Genetics
4100 DUVAL RD, BLDG 2, SUITE 201
AUSTIN, TX 78759
Travis County (512) 339-1010
CHRISTINE DUGGAN, D.C.,P.A.
Chiropractor
4100 DUVAL RD, BUILDING 4, SUITE 203
AUSTIN, TX 78759
Travis County (512) 833-7700
KEVIN STEPHENS MD PA
Family Medicine
4100 DUVAL RD, BLDG 2 STE 202
AUSTIN, TX 78759
Travis County (512) 454-1123

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 Nicole Busch's NPI number?

The NPI number for Nicole Busch is 1073985446. It was assigned to this individual provider in the NPPES registry on October 26, 2015.

Where is Nicole Busch located?

Nicole Busch practices at 4100 Duval Rd Bldg III Suite 200, Austin, TX 78759. The listed phone number is (512) 485-7200.

What is Nicole Busch's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

Is Nicole Busch enrolled in Medicare?

Yes. Nicole Busch 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 Nicole Busch accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Nicole Busch 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 Nicole Busch affiliated with any hospitals?

According to CMS data, Nicole Busch is affiliated with Adventhealth Central Texas and Seton Medical Center Harker Heights.

When was this NPI record last updated?

The NPPES record for Nicole Busch was last updated on February 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.