KAITLIN BUSH PA-C
NPI 1104570142
Physician Assistant in Owingsville, KY

Q: What is Kaitlin Bush's NPI number?

The NPI number for Kaitlin Bush is 1104570142. It was assigned to this individual provider in the NPPES registry on February 8, 2022.

Q: What is Kaitlin Bush's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kaitlin Bush was last updated on November 22, 2022. 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 February 08, 2022PECOS EnrolledAccepts Medicare Assignment

632 SLATE AVE, OWINGSVILLE, KY 40360(606) 674-6386(606) 674-3096 Get Directions Write a Review

NPPES record last updated: November 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2022, Feb 8, 2022 (2 updates tracked since 2022).

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About Kaitlin Bush Pa-c NPPES

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

KAITLIN BUSH PA-C (NPI 1104570142) is an individual physician assistant in Owingsville, Kentucky, licensed in Kentucky (1192698) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with St Claire Regional Medical Center, and maintains a secondary practice location in Georgetown.

NPPES Registry Identity

NPI1104570142

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKAITLIN BUSHCredential: PA-C

Location Address632 SLATE AVEOwingsville, KY 40360-2206

Mailing AddressPo Box 1120Owingsville, KY 40360-1120 · (606) 674-6386 · Fax (606) 674-3096

Phone(606) 674-6386

Fax(606) 674-3096

Sole ProprietorYes

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2022

Enumeration DateFebruary 8, 2022

Last NPPES UpdateNovember 22, 20222 updates tracked since enumeration

NPPES CertifiedNovember 22, 2022

✔ NPI 1104570142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in KY · 1192698

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

632 SLATE AVE, Owingsville, KY 40360

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Secondary Practice Location 1

Location 1205 Keelridge DrGeorgetown, KY 40324-2517 · Phone (606) 339-5247

Other Identifiers 1

Other1192698KY · Certification

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

Kaitlin Bush Pa-c 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 ID5698146918

PECOS Enrollment IDI20230125000881

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.

Hospital Affiliations CMS Care Compare

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

St Claire Regional Medical Center

Acute Care Hospitals · Morehead, KY

3/5 CMS rating

OwnershipGovernment - Federal

CMS Certification Number180018

Location222 Medical CircleMorehead, KY 40351 · Rowan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40360 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

DR. KITRINA LOU KEARFOTT M.D.

Family Medicine