CALLIE MARIA BUSHONG
NPI 1497421986
Nurse Practitioner - Family in Elkhart, IN

Q: What is Callie Bushong's NPI number?

The NPI number for Callie Bushong is 1497421986. It was assigned to this individual provider in the NPPES registry on August 17, 2021.

Q: What is Callie Bushong's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Callie Bushong was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since August 17, 2021PECOS EnrolledAccepts Medicare Assignment

1215 LAWN AVE STE 120, ELKHART, IN 46514(574) 523-2733(574) 523-3251 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2025, Aug 17, 2021 (2 updates tracked since 2021).

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About Callie Maria Bushong NPPES

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

CALLIE MARIA BUSHONG (NPI 1497421986) is an individual family provider in Elkhart, Indiana, licensed in Indiana (71011411A) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Goshen Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1497421986

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCALLIE MARIA BUSHONG

Location Address1215 LAWN AVE STE 120Elkhart, IN 46514-2450

Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-3437

Phone(574) 523-2733

Fax(574) 523-3251

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 17, 2021

Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration

NPPES CertifiedAugust 11, 2025

✔ NPI 1497421986 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

License✔ Licensed in IN · 71011411A

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 71011411A (IN)

1215 LAWN AVE STE 120, Elkhart, IN 46514

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Secondary Practice Locations 2

Location 1808 N 3rd StGoshen, IN 46528-7100 · Phone (574) 534-0088

Location 2621 Memorial Dr Ste 100South Bend, IN 46601-1063 · Phone (574) 647-1100 · Fax (574) 647-3148

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Callie Maria Bushong 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 ID2264830611

PECOS Enrollment IDI20211014003268

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

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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

25 services14 patients

Hospital Affiliations CMS Care Compare

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

Goshen Hospital

Acute Care Hospitals · Goshen, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150026

Location200 High Park AveGoshen, IN 46526 · Elkhart County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46514 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 7

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

RUSSELL F JOHNSON MD

Radiology (Radiation Oncology)