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MRS. LISA M BUSH CRNP
NPI 1306382171
Nurse Practitioner - Family in Philadelphia, PA

Active since January 17, 2017PECOS EnrolledAccepts Medicare Assignment
37 S 40TH ST, PHILADELPHIA, PA 19104(215) 444-7470(215) 764-6556 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 13, 2023, Apr 20, 2017, Jan 17, 2017 (3 updates tracked since 2017).

About Mrs. Lisa M Bush Crnp NPPES

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

MRS. LISA M BUSH CRNP (NPI 1306382171) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP017336) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phila, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1306382171
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LISA M BUSHCredential: CRNP
Location Address37 S 40TH STPhiladelphia, PA 19104-3042
Mailing AddressPo Box 746722Atlanta, GA 30374-6722 · Fax (215) 349-5680
Phone(215) 444-7470
Fax(215) 764-6556
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 17, 2017
Last NPPES UpdateApril 28, 20253 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
✔ NPI 1306382171 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 PA · SP017336
37 S 40TH ST, Philadelphia, PA 19104
Open in Google Maps ↗

Secondary Practice Location 1

Location 13400 Civic Center Blvd, 3rd floorPhila, PA 19104-5127 · Phone (215) 662-3318 · Fax (215) 349-5680

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

Mrs. Lisa M Bush Crnp 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 ID4486921921
PECOS Enrollment IDI20170605000661
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 3

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
49 services32 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
1 supplier20 claims40 services$4.59 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
1 supplier18 claims18 services$0.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

JASON CODY WEAVER MSW, LCSW
Social Worker (Clinical)
37 S 40TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 444-7470
DR. MARISA GEFEN M.D.
Internal Medicine
37 S 40TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 444-7470

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 Lisa Bush's NPI number?

The NPI number for Lisa Bush is 1306382171. It was assigned to this individual provider in the NPPES registry on January 17, 2017.

Where is Lisa Bush located?

Lisa Bush practices at 37 S 40th St, Philadelphia, PA 19104. The listed phone number is (215) 444-7470.

What is Lisa Bush's specialty?

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

Is Lisa Bush enrolled in Medicare?

Yes. Lisa 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.

When was this NPI record last updated?

The NPPES record for Lisa Bush was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.