KENNETH WAYNE BUSH PA
NPI 1528020682
Physician Assistant in Clemmons, NC
About Kenneth Wayne Bush Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH WAYNE BUSH PA (NPI 1528020682) is an individual physician assistant in Clemmons, North Carolina, licensed in North Carolina (103038) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Kenneth Wayne Bush Pa 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Carolina Baptist Hospital
Acute Care Hospitals · Winston-Salem, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kenneth Bush's NPI number?
The NPI number for Kenneth Bush is 1528020682. It was assigned to this individual provider in the NPPES registry on April 4, 2006.
Where is Kenneth Bush located?
Kenneth Bush practices at 2311 Lewisville Clemmons Rd, Clemmons, NC 27012. The listed phone number is (336) 716-2255.
What is Kenneth Bush's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kenneth Bush enrolled in Medicare?
Yes. Kenneth 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 Kenneth Bush accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 2 other insurers list Kenneth 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 Kenneth Bush affiliated with any hospitals?
According to CMS data, Kenneth Bush is affiliated with North Carolina Baptist Hospital.
When was this NPI record last updated?
The NPPES record for Kenneth Bush was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Kenneth Wayne Bush, PA · NPI 1528020682
Physician Assistant physician in Clemmons, North Carolina. Individual provider, active in the CMS NPPES registry since April 4, 2006.
## Identity
- **NPI:** 1528020682 (Entity type: Individual)
- **Enumerated:** April 4, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 103038 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2311 LEWISVILLE CLEMMONS RD, Clemmons, NC 27012-8905
- **Phone:** (336) 716-2255
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** June 23, 2025
- **Other identifiers:** Medicaid 8101650 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1528020682) · Data from the CMS NPPES public registry.