CERISE JESSICA BUSH (MD) – Obstetrics & Gynecology Physician, NPI 1053567099

CERISE JESSICA BUSH (MD) is a healthcare provider. based in Frankfort, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 036122472 (IL). The NPI Number for CERISE JESSICA BUSH (MD) is 1053567099

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
CERISE JESSICA BUSH (MD)
NPI
1053567099
Phone
(815) 469-6646
Address
222 COLORADO AVE
Enumeration Date
11 August 2008
Last Update Date
9 December 2021

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8478258108
Graduation Year
2005 (21 years ago)
PAC ID
9436289725
Group Practice PAC ID
7012818354
Professional Enrollment ID
I20100614000081
Address ID
IL600684262PA350XXHWYX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,923 OBSTETRICS/GYNECOLOGY in IL

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Provider Addresses for CERISE JESSICA BUSH (MD)

  • 222, Colorado Avenue, Frankfort, Will County, Illinois, 60423, United States

    FRANKFORT, IL 604231334

    Phone: (815) 469-6646

    Fax: (815) 469-6647

    Mailing address matches the actual address.

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: 2010-06-14

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
I20100614000081IObstetrics/GynecologyILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 60423)

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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: 7012818354View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YIL
O B S T E T R I C S/ G Y N E C O L O G YIL
-IL
-IL
O B S T E T R I C S/ G Y N E C O L O G YIL
O B S T E T R I C S/ G Y N E C O L O G YIL
Nurse PractitionerIL
-IL
O B S T E T R I C S/ G Y N E C O L O G YIL
O B S T E T R I C S/ G Y N E C O L O G YIL

Reviews

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Frequently asked questions

What is CERISE JESSICA BUSH (MD)'s NPI number?
CERISE JESSICA BUSH (MD)'s NPI is 1053567099 — the number used across U.S. healthcare to identify this provider.
Is CERISE JESSICA BUSH (MD) shown as active in public data?
Registry records indicate CERISE JESSICA BUSH (MD) maintains an active NPI.
What area of care is associated with CERISE JESSICA BUSH (MD)?
CERISE JESSICA BUSH (MD)'s record emphasizes Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is CERISE JESSICA BUSH (MD) associated with Frankfort?
Public fields place CERISE JESSICA BUSH (MD) around Frankfort, Illinois. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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