RILEY N BUSHMAN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1053698480

RILEY N BUSHMAN (CRNA) is a healthcare provider. based in Miami, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN9284538 (FL). The NPI Number for RILEY N BUSHMAN (CRNA) is 1053698480

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
RILEY N BUSHMAN (CRNA)
NPI
1053698480
Phone
(253) 279-2085
Address
250 NE 25TH ST APT 1804
Enumeration Date
14 November 2011
Last Update Date
16 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8003403595
Graduation Year
2011 (15 years ago)
PAC ID
6901062702
Group Practice PAC ID
7315317112
Professional Enrollment ID
I20140612000769
Address ID
WA980038714FE34719SXXX400

Contacts

SOAP Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:14State licenses:2Other namesUpdated within 12 months

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for RILEY N BUSHMAN (CRNA)

  • 250 NE 25TH ST APT 1804

    MIAMI, FL 331375049

    Phone: (253) 279-2085

    Type: Location

  • 209 MARTIN LUTHER KING JR WAY

    TACOMA, WA 984054265

    Phone: (253) 596-3300

    Fax: (253) 596-3301

    Type: Mailing

  • 9040 JACKSON AVE

    TACOMA, WA 984314265

    Phone: (253) 968-0198

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-06-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140612000769ICertified Registered Nurse Anesthetist (Crna)WATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33137)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315317112View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA

Reviews

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Frequently asked questions

How do I look up RILEY N BUSHMAN (CRNA) by NPI?
Use NPI 1053698480 when you need to reference RILEY N BUSHMAN (CRNA) in forms, claims, or directories.
Does this profile mean RILEY N BUSHMAN (CRNA) is currently active?
Yes — RILEY N BUSHMAN (CRNA) appears active in the national provider directory.
Does RILEY N BUSHMAN (CRNA) list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for RILEY N BUSHMAN (CRNA). Clinical services aligned with this taxonomy classification.
What location shows for RILEY N BUSHMAN (CRNA)?
We surface Miami, Florida for RILEY N BUSHMAN (CRNA) based on available NPPES addresses.
Is RILEY N BUSHMAN (CRNA) a real provider?
This page reflects official NPPES data for NPI 1053698480. Always confirm identity and privileges with the practice and licensing boards.

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