MS. MONICA LEIGH BUSH CRNP
NPI 1316131345
Nurse Practitioner - Family in Decatur, AL

Active since September 03, 2007PECOS EnrolledAccepts Medicare Assignment
1304 13TH AVE SE STE A, DECATUR, AL 35601(256) 280-8209 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 23, 2021, Nov 7, 2018 (2 updates tracked since 2018).

About Ms. Monica Leigh Bush Crnp NPPES

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

MS. MONICA LEIGH BUSH CRNP (NPI 1316131345) is an individual family provider in Decatur, Alabama, licensed in Alabama (1-53800) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1316131345
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. MONICA LEIGH BUSHCredential: CRNP
Location Address1304 13TH AVE SE STE ADecatur, AL 35601-4316
Mailing Address2424 Halifax Pl SwDecatur, AL 35601-7337 · (256) 280-8209
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 3, 2007
Last NPPES UpdateDecember 23, 20212 updates tracked since enumeration
NPPES CertifiedDecember 23, 2021
NPI 1316131345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in AL · 1-53800 Licensed in AL · 1-053800
Also ListedNurse Practitioner · Occupational HealthTaxonomy 363LX0106X · License 1-053800 (AL), 3008002 (KY)
1304 13TH AVE SE STE A, Decatur, AL 35601

Accepted 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

Ms. Monica Leigh 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 ID8224429188
PECOS Enrollment IDI20220103002009
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 5

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.
29 services26 patients
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.
29 services29 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
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
18 services18 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35601 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
1304 13TH AVE SE STE A
DECATUR, AL 35601

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 Monica Bush's NPI number?

The NPI number for Monica Bush is 1316131345. It was assigned to this individual provider in the NPPES registry on September 3, 2007.

Where is Monica Bush located?

Monica Bush practices at 1304 13th Ave SE Ste A, Decatur, AL 35601. The listed phone number is (256) 280-8209.

What is Monica Bush's specialty?

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

Is Monica Bush enrolled in Medicare?

Yes. Monica 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.

What insurance does Monica Bush accept?

Health plans from Oscar Insurance Company list Monica Bush 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.

When was this NPI record last updated?

The NPPES record for Monica Bush was last updated on December 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.