2026 NPPES data Home Health Registered Nurse NPI 1437615523 APRN
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LASTACIA BUSH, APRN

Home Health Registered Nurse in ORLANDO, Florida. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
62
Medicare Part D claims · 48 beneficiaries · Home Health Registered Nurse avg: 1K
MIPS score
77.4044/100
▼ 6 pts below national avg 83.1 · [object Object]
Industry payments
$23.72
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

LASTACIA BUSH, APRN reported a CMS MIPS final score of 77.4044/100 — below the 83.1 national average — and filed 62 Medicare Part D claims in 2023.

77.4044/100
MIPS score · -6 vs avg
62
Part D claims, 2023
$23.72
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

LASTACIA BUSH, APRN's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

77 24th percentile higher than 24% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

What does the federal data show about LASTACIA BUSH, APRN?

Below national average

NPI registry status

Active

Issued 02/14/2019

NPI 1437615523

Primary specialty

Home Health Registered Nurse

Mid-sized

9,170 US NPIs in this specialty

Medicare Part D claims

62 94% vs specialty avg

2023 prescription claims

Specialty avg: 1,026

MIPS final score

77.4044/100 5.695599999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Home Health Registered Nurse compares to other specialties among Florida providers

Florida providers

Home Health Registered Nurse share within Florida

1. Home Health Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Home Health Registered Nurse share within Florida

Medicare quality performance — MIPS

LASTACIA BUSH, APRN's 2023 MIPS final score plotted against the Home Health Registered Nurse national average

Below national average
MIPS Final Score
77.4044/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Home Health Registered Nurse) — 77.4044/100 vs national avg 83.1

0%100%National avg83%77.4%
MIPS final score (Home Health Registered Nurse) — 77.4044/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

LASTACIA BUSH, APRN appears in the CMS NPPES registry as a Home Health Registered Nurse provider holding APRN credentials at 7599 W SAND LAKE RD, ORLANDO, FL, 32819, with a listed phone of (407) 352-1177. NPI 1437615523 was issued on 02/14/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BUSH most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 62 prescription claims written by this provider, covering 48 Medicare beneficiaries and totaling roughly $1K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 77.4044/100 for the 2023 performance year (Quality 81.2452, Cost 59.065), compared with the national average of 83.1.

Home Health Registered Nurse is a mid-sized specialty nationwide, with 9,170 enrolled providers across 55 states and an average of 1,026 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

7599 W SAND LAKE RD
ORLANDO, FL 32819

Provider Details

NPI 1437615523
Specialty Home Health Registered Nurse
Credentials APRN
Gender Female
NPI Issued 02/14/2019

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

77.4044
Final Score
Avg: 83.1
81.2452
Quality
59.065
Cost

Reporting: Group practice

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for LASTACIA BUSH, APRN. Source: openpaymentsdata.cms.gov.

Total received

$24

Largest payer

Dynavax Technologies Corporation

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Florida FLDOH 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 — they are NOT specific to LASTACIA BUSH, APRN. To verify LASTACIA BUSH, APRN's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

62
Total Claims
$1K
Total Drug Cost
48
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
64
Total Day Supply
616
Generic Drug Cost
$617
Antibiotic Claims
26

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
0.82
Gender Split
65% female / 35% male

Home Health Registered Nurse Overview

How LASTACIA BUSH, APRN fits within the Home Health Registered Nurse landscape nationally.

9,170
Home Health Registered Nurse Providers in US
55
States with Home Health Registered Nurse
1,026
Avg Claims per Provider

LASTACIA BUSH, APRN's 62 claims are below the specialty average of 1,026.

Nearby Home Health Registered Nurse Providers in Florida

Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as BUSH.

Compare Home Health Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is LASTACIA BUSH, APRN's specialty?
LASTACIA BUSH, APRN specializes in Home Health Registered Nurse and practices in ORLANDO, Florida. Credentials: APRN.
How much does LASTACIA BUSH, APRN prescribe under Medicare Part D?
In 2023, LASTACIA BUSH, APRN wrote 62 Medicare Part D claims totaling $1K in drug costs for 48 beneficiaries.
What is LASTACIA BUSH, APRN's Medicare quality score?
LASTACIA BUSH, APRN has a CMS MIPS Final Score of 77.4044/100 (Quality: 81.2452, Cost: 59.065). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is LASTACIA BUSH, APRN located?
LASTACIA BUSH, APRN is located at 7599 W SAND LAKE RD, ORLANDO, FL, 32819. Phone: (407) 352-1177.
What is LASTACIA BUSH, APRN's NPI number?
LASTACIA BUSH, APRN's National Provider Identifier (NPI) is 1437615523, issued on 02/14/2019.
How many Home Health Registered Nurse providers are there in the US?
There are 9,170 Home Health Registered Nurse providers across 55 states in the US. The average Home Health Registered Nurse provider writes 1,026 Medicare Part D claims per year.
Does LASTACIA BUSH, APRN accept Medicare?
LASTACIA BUSH, APRN appears in CMS Medicare data with 62 Part D claims and 48 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LASTACIA BUSH, APRN's credentials?
LASTACIA BUSH, APRN's NPI is 1437615523 with credentials APRN. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology