HOLLY BUSHONG FNP-C
NPI 1558143149
Nurse Practitioner - Family in Ladoga, IN

Q: What is Holly Bushong's NPI number?

The NPI number for Holly Bushong is 1558143149. It was assigned to this individual provider in the NPPES registry on October 18, 2023.

Q: What is Holly Bushong's specialty?

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

Q: Is Holly Bushong enrolled in Medicare?

No. Holly Bushong has opted out of Medicare through December 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Holly Bushong was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 18, 2023Opted out of Medicare · through Dec 11, 2027

300 E MAIN ST STE 2, LADOGA, IN 47954(765) 946-3331(877) 558-9529 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Holly Bushong Fnp-c NPPES

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

HOLLY BUSHONG FNP-C (NPI 1558143149) is an individual family provider in Ladoga, Indiana, licensed in Indiana (71014493A) and active in the NPI registry since October 2023. She has opted out of Medicare through December 11, 2027 and remains eligible to order and refer and maintains a secondary practice location in Crawfordsville.

NPPES Registry Identity

NPI1558143149

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameHOLLY BUSHONGCredential: FNP-C

Location Address300 E MAIN ST STE 2Ladoga, IN 47954-7046

Mailing Address300 E Main St Ste 2Ladoga, IN 47954-7046 · (765) 946-3331 · Fax (877) 558-9529

Phone(765) 946-3331

Fax(877) 558-9529

Sole ProprietorNo

Enumeration DateOctober 18, 2023

NPPES CertifiedOctober 18, 2023

✔ NPI 1558143149 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 IN · 71014493A

300 E MAIN ST STE 2, Ladoga, IN 47954

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Secondary Practice Location 1

Location 14537 S Nucor RdCrawfordsville, IN 47933-7969 · Phone (765) 362-3579 · Fax (877) 558-9529

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Holly Bushong Fnp-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 11, 2025 through December 11, 2027.

Opt-Out Effective DateDecember 11, 2025

Opt-Out In Effect ThroughDecember 11, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47954 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

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

MASON HEALTH CARE LLC

Clinic/Center (Primary Care)

300 E MAIN ST STE 2
LADOGA, IN 47954

Montgomery County (765) 946-3331

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 Holly Bushong's NPI number?

The NPI number for Holly Bushong is 1558143149. It was assigned to this individual provider in the NPPES registry on October 18, 2023.

Where is Holly Bushong located?

Holly Bushong practices at 300 E Main St Ste 2, Ladoga, IN 47954. The listed phone number is (765) 946-3331.

What is Holly Bushong's specialty?

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

Is Holly Bushong enrolled in Medicare?

No. Holly Bushong has opted out of Medicare through December 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Holly Bushong was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.