ANDREA BUSHMAN – Counselor, NPI 1811386097

ANDREA BUSHMAN is a healthcare provider. based in Springfield, Massachusetts. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for ANDREA BUSHMAN is 1811386097

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA BUSHMAN
NPI
1811386097
Phone
(413) 827-8922
Address
511 E COLUMBUS AVE
Enumeration Date
12 January 2015
Last Update Date
18 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8606980782
Graduation Year
2019 (7 years ago)
PAC ID
1850886839
Group Practice PAC ID
4183076508
Professional Enrollment ID
I20251217001608
Address ID
MA011031440SP1380XSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:11State licenses:0Digital endpointsOther names

2,116 MENTAL HEALTH COUNSELOR in MA

Provider Addresses for ANDREA BUSHMAN

  • 511 E COLUMBUS AVE

    SPRINGFIELD, MA 011052506

    Phone: (413) 827-8922

    Type: Mailing

  • 98 LOWER WESTFIELD RD STE 101

    HOLYOKE, MA 010402744

    Phone: (413) 505-8914

    Type: Mailing

  • 1380 MAIN ST STE 415

    SPRINGFIELD, MA 011031440

    Phone: (413) 505-8914

    Type: Mailing

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: 2025-12-17

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
I20251217001608IMental Health CounselorMATBD

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 01105)

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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: 4183076508View full group profile
NameSpecialtyState
Mental Health CounselorMA
Mental Health CounselorPR
Mental Health CounselorMA
Undefined Non Physician Type (Specify), Mental Health CounselorMA

Reviews

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Frequently asked questions

Is ANDREA BUSHMAN listed with a National Provider Identifier?
Yes — ANDREA BUSHMAN has NPI 1811386097 on file in the registry.
Would ANDREA BUSHMAN appear as active to a payer?
You can treat ANDREA BUSHMAN as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to ANDREA BUSHMAN?
ANDREA BUSHMAN's specialty line reads Counselor. Clinical services aligned with this taxonomy classification.
Is ANDREA BUSHMAN associated with Springfield?
Public fields place ANDREA BUSHMAN around Springfield, Massachusetts. Always confirm the exact site before visiting.
Can I trust this NPI listing for ANDREA BUSHMAN?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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