ANDREA WICK BUSH PA-C
NPI 1801989165
Physician Assistant - Surgical in Chevy Chase, MD

Q: What is Andrea Bush's NPI number?

The NPI number for Andrea Bush is 1801989165. It was assigned to this individual provider in the NPPES registry on October 1, 2006. The provider is also known as Andrea Arlene Wick Pa-C.

Q: What is Andrea Bush's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Bush was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 01, 2006PECOS Enrolled

5530 WISCONSIN AVE STE 1660, CHEVY CHASE, MD 20815(301) 657-9876(301) 657-8229 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2023, Feb 28, 2023, Dec 24, 2015 (3 updates tracked since 2015).

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About Andrea Wick Bush Pa-c NPPES

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

ANDREA WICK BUSH PA-C (NPI 1801989165) is an individual surgical provider in Chevy Chase, Maryland, licensed in Maryland (C0003208) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801989165

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameANDREA WICK BUSHCredential: PA-C

Location Address5530 WISCONSIN AVE STE 1660Chevy Chase, MD 20815-4322

Mailing Address5530 Wisconsin Ave Ste 1660Chevy Chase, MD 20815-4322 · (301) 657-9876 · Fax (301) 657-8229

Phone(301) 657-9876

Fax(301) 657-8229

Sole ProprietorNo

Enumeration DateOctober 1, 2006

Last NPPES UpdateApril 6, 20233 updates tracked since enumeration

NPPES CertifiedApril 6, 2023

✔ NPI 1801989165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Licenses✔ Licensed in MD · C0003208✔ Licensed in DC · PA030404

5530 WISCONSIN AVE STE 1660, Chevy Chase, MD 20815

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Other Names 1

Former Name (1)Andrea Arlene Wick Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Wick Bush Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. RYAN DAVID SCULLY MD

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)