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MICHELLE DENISE BUSH RN, MSN, CRNP-BC
NPI 1154450484
Nurse Practitioner - Family in Locust Grove, GA

Active since March 04, 2007PECOS Enrolled
3758 HIGHWAY 42, LOCUST GROVE, GA 30248(678) 561-9430(770) 914-1070 Get Directions Write a Review

NPPES record last updated: January 25, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2017, Jan 2, 2017 (2 updates tracked since 2017).

About Michelle Denise Bush Rn, Msn, Crnp-bc NPPES

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

MICHELLE DENISE BUSH RN, MSN, CRNP-BC (NPI 1154450484) is an individual family provider in Locust Grove, Georgia, licensed in Georgia (RN256477) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154450484
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE DENISE BUSHCredential: RN, MSN, CRNP-BC
Location Address3758 HIGHWAY 42Locust Grove, GA 30248-3653
Mailing Address3758 Highway 42Locust Grove, GA 30248-3653 · (678) 561-9430 · Fax (770) 914-1070
Phone(678) 561-9430
Fax(770) 914-1070
Sole ProprietorNo
Enumeration DateMarch 4, 2007
Last NPPES UpdateJanuary 25, 20172 updates tracked since enumeration
✔ NPI 1154450484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN256477
3758 HIGHWAY 42, Locust Grove, GA 30248
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Denise Bush Rn, Msn, Crnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30248 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
84%255 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%289 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%195 patients5/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
100%122 patients5/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

DR. LINDA JEAN KING DDS
Dentist (General Practice)
3758 HIGHWAY 42, SUITE 303
LOCUST GROVE, GA 30248
Henry County (770) 898-8872
EAGLE'S LANDING PHARMACY II
Pharmacy (Community/Retail Pharmacy)
3758 HIGHWAY 42, SUITE 201
LOCUST GROVE, GA 30248
Henry County (770) 957-5556
JIMMY L HIGHTOWER JR. PAC
Physician Assistant
3758 HIGHWAY 42
LOCUST GROVE, GA 30248
Henry County (678) 561-9430
DAVID FARMER PA-C
Physician Assistant (Medical)
3758 HIGHWAY 42
LOCUST GROVE, GA 30248
Henry County (678) 561-9430
SHEHNAZ MAKHANI MD
Family Medicine
3758 HIGHWAY 42
LOCUST GROVE, GA 30248
Henry County (678) 561-9430
REGAN JOY FRAKE M.D.
Family Medicine
3758 HIGHWAY 42
LOCUST GROVE, GA 30248
Henry County (678) 561-9430

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 Michelle Bush's NPI number?

The NPI number for Michelle Bush is 1154450484. It was assigned to this individual provider in the NPPES registry on March 4, 2007.

Where is Michelle Bush located?

Michelle Bush practices at 3758 Highway 42, Locust Grove, GA 30248. The listed phone number is (678) 561-9430.

What is Michelle Bush's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michelle Bush enrolled in Medicare?

Yes. Michelle Bush is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michelle Bush was last updated on January 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.