NICOLE VANDERBOSCH BUSH MHS, PA-C
NPI 1447628672
Physician Assistant in Charlotte, NC

Active since September 03, 2015PECOS EnrolledAccepts Medicare Assignment
7903 PROVIDENCE RD STE 100, CHARLOTTE, NC 28277(704) 316-4460(704) 316-4466 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2022, Oct 26, 2020, Jul 18, 2017 (3 updates tracked since 2017).

About Nicole Vanderbosch Bush Mhs, Pa-c NPPES

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

NICOLE VANDERBOSCH BUSH MHS, PA-C (NPI 1447628672) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-05950) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1447628672
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE VANDERBOSCH BUSHCredential: MHS, PA-C
Location Address7903 PROVIDENCE RD STE 100Charlotte, NC 28277-9763
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 510-8000
Fax(704) 316-4466
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 3, 2015
Last NPPES UpdateJune 26, 20233 updates tracked since enumeration
NPPES CertifiedJune 26, 2023
NPI 1447628672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-05950
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.

7903 PROVIDENCE RD STE 100, Charlotte, NC 28277

Secondary Practice Location 1

Location 110810 Mallard Creek RdCharlotte, NC 28262-9786 · Phone (704) 516-8000

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

Nicole Vanderbosch Bush Mhs, 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 ID9032419163
PECOS Enrollment IDI20151123000206
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 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.
62 services42 patients
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.
26 services22 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.
18 services18 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
15 services13 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Matthews Medical Center

Acute Care Hospitals · Matthews, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340171
Location1500 Matthews Twnshp Prkwy Box 3310Matthews, NC 28106 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Mint Hill Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340190
Location8201 Healthcare LoopCharlotte, NC 28215 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28277 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 11

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

Physician Assistant
7903 PROVIDENCE RD STE 100
CHARLOTTE, NC 28277
Family Medicine
7903 PROVIDENCE RD STE 100
CHARLOTTE, NC 28277
Internal Medicine
7903 PROVIDENCE RD STE 100
CHARLOTTE, NC 28277
Physician Assistant
7903 PROVIDENCE RD STE 100
CHARLOTTE, NC 28277
Family Medicine
7903 PROVIDENCE RD STE 100
CHARLOTTE, NC 28277
Family Medicine
7903 PROVIDENCE RD STE 100
CHARLOTTE, NC 28277
Physician Assistant
7903 PROVIDENCE RD STE 100
CHARLOTTE, NC 28277
Internal Medicine
7903 PROVIDENCE RD STE 100
CHARLOTTE, NC 28277

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 Nicole Bush's NPI number?

The NPI number for Nicole Bush is 1447628672. It was assigned to this individual provider in the NPPES registry on September 3, 2015.

Where is Nicole Bush located?

Nicole Bush practices at 7903 Providence Rd Ste 100, Charlotte, NC 28277. The listed phone number is (704) 316-4460.

What is Nicole Bush's specialty?

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

Is Nicole Bush enrolled in Medicare?

Yes. Nicole 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 Nicole Bush accept?

Health plans from Blue Cross and Blue Shield of NC list Nicole 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.

Is Nicole Bush affiliated with any hospitals?

According to CMS data, Nicole Bush is affiliated with Novant Health Presbyterian Medical Center, Novant Health Matthews Medical Center and Novant Health Mint Hill Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Bush was last updated on June 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.