ANGELA C BUSHELL – Mental Health Counselor, NPI 1356623870

ANGELA C BUSHELL is a healthcare provider. based in Elko, Nevada. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. MH20568 (FL). The NPI Number for ANGELA C BUSHELL is 1356623870

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA C BUSHELL
NPI
1356623870
Phone
(775) 738-8004
Address
PO BOX 2580
Enumeration Date
10 September 2011
Last Update Date
24 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9413630878
Graduation Year
2019 (7 years ago)
PAC ID
8921539982
Group Practice PAC ID
5092120030
Professional Enrollment ID
I20241001002336
Address ID
FL342369116SA1090XTRLX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

187 MENTAL HEALTH COUNSELOR in NV

Provider Addresses for ANGELA C BUSHELL

  • PO BOX 2580

    ELKO, NV 898032580

    Phone: (775) 738-8004

    Fax: (775) 738-2625

    Type: Mailing

  • 3740 E IDAHO ST

    ELKO, NV 898014611

    Phone: (775) 738-8004

    Fax: (775) 738-2625

    Type: Location

  • 2033 WOOD ST STE 220

    SARASOTA, FL 342377927

    Phone: (941) 677-3366

    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: 2024-10-01

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
I20241001002336IMental Health CounselorFLTBD

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 89803)

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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: 5092120030View full group profile
NameSpecialtyState
Clinical PsychologistMD
Clinical PsychologistRI
Clinical PsychologistIL
Clinical PsychologistFL
P S Y C H I A T R YFL
Clinical Social WorkerFL
P S Y C H I A T R YFL
Clinical PsychologistFL
Nurse PractitionerFL
Clinical Social WorkerMD

Reviews

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Frequently asked questions

How do I look up ANGELA C BUSHELL by NPI?
Use NPI 1356623870 when you need to reference ANGELA C BUSHELL in forms, claims, or directories.
Is ANGELA C BUSHELL currently active in the NPI registry?
CMS-published data lists ANGELA C BUSHELL as an active registrant.
Does ANGELA C BUSHELL list a primary specialty?
If you are matching referrals, note Mental Health Counselor for ANGELA C BUSHELL. Clinical services aligned with this taxonomy classification.
What location shows for ANGELA C BUSHELL?
We surface Elko, Nevada for ANGELA C BUSHELL based on available NPPES addresses.
How can I contact ANGELA C BUSHELL?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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