SANDRA KAY BUSHMAN (CFNP) – Family Nurse Practitioner, NPI 1215262969
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for SANDRA KAY BUSHMAN (CFNP)
901 PRINCE WILLIAM RD STE A
DELPHI, IN 469231759
Phone: (765) 564-3016
Fax: (765) 564-2608
Type: Location
North 6th Street, Monticello, White County, Indiana, 47960, United States
MONTICELLO, IN 479601752
Phone: (574) 583-3333
Fax: (574) 583-4785
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $739.
Total Amount is formed as General ($739) + Research ($0) + Ownership ($0) = $739.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($228).
Total Amount
$739
General + Research + Ownership
Payments
37
Total payment records
General Amount
$739
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Supernus Pharmaceuticals, Inc. | $228 |
| Corium, LLC | $173 |
| ABBVIE INC. | $60 |
| Tris Pharma Inc | $56 |
| Exact Sciences Corporation | $32 |
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: 2012-03-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120306000457 | I | Nurse Practitioner | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 56 | 43 | $0 |
Insurance plans in this area (ZIP 46923)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | IN | |
| Qualified Audiologist | IN | |
| Nurse Practitioner | IN | |
| Qualified Audiologist | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Clinical Social Worker | IN |
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