NATHAN BUSHUE (PA-C) – Physician Assistant, NPI 1073087110

NATHAN BUSHUE (PA-C) is a healthcare provider. based in Lawrence, Kansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 61501654 (WA). The NPI Number for NATHAN BUSHUE (PA-C) is 1073087110

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN BUSHUE (PA-C)
NPI
1073087110
Phone
(785) 371-4921
Address
1811 WAKARUSA DR STE 102
Enumeration Date
11 January 2019
Last Update Date
6 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4259968592
Graduation Year
2018 (8 years ago)
PAC ID
0244578615
Group Practice PAC ID
2163889981
Professional Enrollment ID
I20240412002055
Address ID
WA980523858RE8301XNEXX406
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,303 PHYSICIAN ASSISTANT in KS

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Provider Addresses for NATHAN BUSHUE (PA-C)

  • Wakarusa Drive, Lawrence, Douglas County, Kansas, United States

    LAWRENCE, KS 660472082

    Phone: (785) 371-4921

    Type: Location

  • 8301 161ST AVE NE STE 202

    REDMOND, WA 980523858

    Phone: (259) 968-5924

    Fax: (425) 968-5619

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $792.

Total Amount is formed as General ($792) + Research ($0) + Ownership ($0) = $792.

Last reported payment date: 2024-11-09 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($159).

Total Amount

$792

General + Research + Ownership

Payments

23

Total payment records

General Amount

$792

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-09

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2024-04-12

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
I20240412002055IPhysician AssistantWATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes8424$0
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or2111$0
99205New patient office or other outpatient visit, 60-74 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 66047)

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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: 2163889981View full group profile
NameSpecialtyState
Clinical Social WorkerWA
P S Y C H I A T R YWA
Mental Health CounselorWA
Nurse PractitionerWA
Nurse PractitionerWA
Physician AssistantWA
Marriage And Family TherapistWA
Undefined Non Physician Type (Specify)WA
Marriage And Family TherapistCA
Nurse PractitionerWA

Reviews

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Frequently asked questions

Is NATHAN BUSHUE (PA-C) listed with a National Provider Identifier?
Yes — NATHAN BUSHUE (PA-C) has NPI 1073087110 on file in the registry.
Active or inactive — what applies to NATHAN BUSHUE (PA-C)?
You should see NATHAN BUSHUE (PA-C) as active in CMS-hosted NPPES data.
What expertise is attributed to NATHAN BUSHUE (PA-C)?
NATHAN BUSHUE (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is NATHAN BUSHUE (PA-C) associated with Lawrence?
Public fields place NATHAN BUSHUE (PA-C) around Lawrence, Kansas. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for NATHAN BUSHUE (PA-C) is noted as January 11, 2019 where the registry provides it.

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