SHIANNE BUSCH – Physician Assistant, NPI 1871067983

SHIANNE BUSCH is a healthcare provider. based in Kingwood, Texas. specializing in PHYSICIAN ASSISTANT. They hold a License No. 085.011628 (IL). The NPI Number for SHIANNE BUSCH is 1871067983

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
SHIANNE BUSCH
NPI
1871067983
Phone
(346) 888-4400
Address
350 Kingwood Medical Dr Ste 220
Enumeration Date
11 January 2019
Last Update Date
22 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3468884400
Graduation Year
2019 (7 years ago)
PAC ID
1557703493
Group Practice PAC ID
0042555096
Professional Enrollment ID
I20240523003242
Address ID
TX770985244HO4101XDRXX304
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:7State licenses:2Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for SHIANNE BUSCH

  • 350 Kingwood Medical Dr Ste 220

    Kingwood, TX 773396406

    Phone: (346) 888-4400

    Fax: (346) 888-4401

    Type: Location

  • 3609 Business Center Dr Ste 124

    Pearland, TX 775844168

    Phone: (346) 888-4400

    Fax: (346) 888-4401

    Type: Location

  • 42, Eldridge Street, Lebanon, Grafton County, New Hampshire, 03766, United States

    LEBANON, NH 037661009

    Phone: (309) 319-1086

    Type: Mailing

  • 4101 GREENBRIAR DR STE 305

    HOUSTON, TX 770985244

    Phone: (346) 888-4400

    Fax: (346) 888-4401

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 127 Open Payments records for all available years, with a total value of $4,280.

Total Amount is formed as General ($4,280) + Research ($0) + Ownership ($0) = $4,280.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Janssen Biotech, Inc. ($647).

Total Amount

$4,280

General + Research + Ownership

Payments

127

Total payment records

General Amount

$4,280

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-05-23

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
I20240523003242IPhysician AssistantTXTBD

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 77339)

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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: 0042555096View full group profile
NameSpecialtyState
P A T H O L O G YTX
D E R M A T O L O G YNY
Dermatology, Micrographic Dermatologic Surgery (Mds)CA
Dermatology, Micrographic Dermatologic Surgery (Mds), DermatologyTX
Physician AssistantTX

Reviews

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Frequently asked questions

Can I cross-check SHIANNE BUSCH using NPI 1871067983?
NPI 1871067983 belongs to SHIANNE BUSCH; compare other details if you need extra assurance.
Would SHIANNE BUSCH appear as active to a payer?
You can treat SHIANNE BUSCH as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is SHIANNE BUSCH?
SHIANNE BUSCH is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Where in Texas is SHIANNE BUSCH registered?
Use Kingwood, Texas as the headline location for SHIANNE BUSCH here.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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