MR. JASON WADE BUSHIE (ATC) – Athletic Trainer, NPI 1174545180

MR. JASON WADE BUSHIE (ATC) is a healthcare provider. based in Mankato, Minnesota. specializing in Athletic Trainer. They hold the professional credentials ATC. They hold a License No. 1480 (MN). The NPI Number for MR. JASON WADE BUSHIE (ATC) is 1174545180

Main info

Male
Sole Proprietor
Name
MR. JASON WADE BUSHIE (ATC)
NPI
1174545180
Phone
(507) 345-4360
Address
114 MERLIN CIR
Enumeration Date
25 July 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MR. JASON WADE BUSHIE (ATC)

  • 114, Merlin Circle, Mankato, Blue Earth County, Minnesota, 56001, United States

    MANKATO, MN 560015732

    Phone: (507) 345-4360

    Type: Mailing

  • 135 MYERS FIELDHOUSE

    MANKATO, MN 560016171

    Phone: (507) 389-1161

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56001)

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Reviews

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Frequently asked questions

Is MR. JASON WADE BUSHIE (ATC) listed with a National Provider Identifier?
Yes — MR. JASON WADE BUSHIE (ATC) has NPI 1174545180 on file in the registry.
Would MR. JASON WADE BUSHIE (ATC) appear as active to a payer?
You can treat MR. JASON WADE BUSHIE (ATC) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MR. JASON WADE BUSHIE (ATC)?
MR. JASON WADE BUSHIE (ATC)'s specialty line reads Athletic Trainer. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. JASON WADE BUSHIE (ATC)?
Directory geography for MR. JASON WADE BUSHIE (ATC) centers on Mankato, Minnesota.
When was this NPI issued?
Enumeration for MR. JASON WADE BUSHIE (ATC) is noted as July 25, 2006 where the registry provides it.

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