MELISSA BUSH – Family Nurse Practitioner, NPI 1063431617

MELISSA BUSH is a healthcare provider. based in Platte city, Missouri. specializing in NURSE PRACTITIONER. They hold a License No. 2000164519 (MO). The NPI Number for MELISSA BUSH is 1063431617

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA BUSH
NPI
1063431617
Phone
(816) 858-2713
Address
1301 PLATTE FALLS RD
Enumeration Date
18 July 2006
Last Update Date
12 December 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8663892727
Graduation Year
2004 (22 years ago)
PAC ID
4981769619
Group Practice PAC ID
7416043807
Professional Enrollment ID
I20090212000711
Address ID
MO640553344IN3825XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

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Provider Addresses for MELISSA BUSH

  • CVS Pharmacy, 1301, Platte Falls Road, Platte City, Platte County, Missouri, 64079, United States

    PLATTE CITY, MO 640797334

    Phone: (816) 858-2713

    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: 2009-02-12

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
I20090212000711INurse PractitionerMOTBD

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 minutes2825$0
99203New patient office or other outpatient visit, 30-44 minutes2020$0
G0008Administration of influenza virus vaccine1717$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1514$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage1313$0
View full utilization report →

Insurance plans in this area (ZIP 64079)

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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: 7416043807View full group profile
NameSpecialtyState
-MO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerFL
-MO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
-MO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What is the 10-digit NPI for MELISSA BUSH?
MELISSA BUSH — NPI 1063431617 — is the standard way to identify this listing.
Can I rely on MELISSA BUSH being an active provider?
As of the registry snapshot, MELISSA BUSH is marked active.
What is MELISSA BUSH's primary classification?
Family Nurse Practitioner is the headline specialty for MELISSA BUSH here. Clinical services aligned with this taxonomy classification.
What address line appears for MELISSA BUSH?
MELISSA BUSH's geographic hint is Platte City, Missouri in our summary view.
Why does MELISSA BUSH have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.