JACQUELYN BUSSE MD
NPI 1598912842
Pediatrics in Santa Cruz, CA

Q: What is Jacquelyn Busse's NPI number?

The NPI number for Jacquelyn Busse is 1598912842. It was assigned to this individual provider in the NPPES registry on August 19, 2008.

Q: What is Jacquelyn Busse's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jacquelyn Busse was last updated on February 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 August 19, 2008PECOS EnrolledAccepts Medicare Assignment

2025 SOQUEL AVE, SANTA CRUZ, CA 95062(831) 458-5555(831) 458-5845 Get Directions Write a Review

NPPES record last updated: February 7, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Jacquelyn Busse Md NPPES

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

JACQUELYN BUSSE MD (NPI 1598912842) is an individual pediatrics provider in Santa Cruz, California, licensed in California (A1111786) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2006).

NPPES Registry Identity

NPI1598912842

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJACQUELYN BUSSECredential: MD

Location Address2025 SOQUEL AVESanta Cruz, CA 95062-1323

Mailing Address2025 Soquel AveSanta Cruz, CA 95062-1323 · (831) 458-5555

Phone(831) 458-5555

Fax(831) 458-5845

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2006

Enumeration DateAugust 19, 2008

Last NPPES UpdateFebruary 7, 2012

✔ NPI 1598912842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A1111786

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2025 SOQUEL AVE, Santa Cruz, CA 95062

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacquelyn Busse Md 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 ID9335281641

PECOS Enrollment IDI20101115000596

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 Jacquelyn Busse reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Bay Medical Foundation

33 mi

Multi-Specialty

795 EL CAMINO REAL
Palo Alto, CA 94301

Reassigned Medicare billing, California enrollment
4,479 clinicians in this Medicare group

NPI 1013950807 (650) 321-4121

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 95062 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

$96.03 typical visit price

range $62.97 – $186.69

Typical copayment $24.00 (range $15.74 – $46.67)

Most-billed visit code 99203

Established Patient

$109.72 typical visit price

range $21.02 – $153.16

Typical copayment $27.43 (range $5.25 – $38.29)

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 20

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

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