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MARIELA PETROVA BUSHEVA NP-C
NPI 1407353253
Nurse Practitioner - Family in Huntersville, NC

Active since April 09, 2018PECOS Enrolled
16415 NORTHCROSS DR STE B, HUNTERSVILLE, NC 28078(704) 775-6029(704) 413-3198 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 24, 2022, Apr 9, 2018 (2 updates tracked since 2018).

About Mariela Petrova Busheva Np-c NPPES

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

MARIELA PETROVA BUSHEVA NP-C (NPI 1407353253) is an individual family provider in Huntersville, North Carolina, licensed in North Carolina (262137) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407353253
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIELA PETROVA BUSHEVACredential: NP-C
Location Address16415 NORTHCROSS DR STE BHuntersville, NC 28078-5001
Mailing Address16415 Northcross Dr Ste BHuntersville, NC 28078-5001 · (704) 775-6029 · Fax (704) 413-3198
Phone(704) 775-6029
Fax(704) 413-3198
Sole ProprietorNo
Enumeration DateApril 9, 2018
Last NPPES UpdateJanuary 24, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2022
✔ NPI 1407353253 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 NC · 262137
16415 NORTHCROSS DR STE B, Huntersville, NC 28078
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariela Petrova Busheva Np-c 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.

Medicare Billing Reassignment

Medicare enrollment records show Mariela Busheva reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Caromont Medical Group, Inc.
8.9 mi
Family Medicine
3605 MOUNT HOLLY HUNTERSVILLE RD, SUITE B
Charlotte, NC 28216
  • Reassigned Medicare billing, North Carolina enrollment
  • 673 clinicians in this Medicare group
NPI 1053616714 (704) 971-2349

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28078 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
5 suppliers68 claims68 services$15.69 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
5 suppliers67 claims67 services$6.29 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 3

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

MARY M. MARTIN-VAVRA MS, FNP
Nurse Practitioner (Family)
16415 NORTHCROSS DR STE B
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 775-6029
LAURA BAUER FNP-C
Nurse Practitioner (Primary Care)
16415 NORTHCROSS DR STE B
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 775-6029
KATHRYN MARIE THOMPSON FNP-C
Nurse Practitioner (Family)
16415 NORTHCROSS DR STE B
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 775-6029

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 Mariela Busheva's NPI number?

The NPI number for Mariela Busheva is 1407353253. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Where is Mariela Busheva located?

Mariela Busheva practices at 16415 Northcross Dr Ste B, Huntersville, NC 28078. The listed phone number is (704) 775-6029.

What is Mariela Busheva's specialty?

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

Is Mariela Busheva enrolled in Medicare?

Yes. Mariela Busheva is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mariela Busheva's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariela Busheva reassigns Medicare benefits to Caromont Medical Group, Inc. (Charlotte, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mariela Busheva's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mariela Busheva was last updated on January 24, 2022. 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.