NPI registry status
Active
2026 NPPES data Home Health Registered Nurse NPI 1437615523 APRN
Verify on CMS → Lastacia Bush, APRN
Home Health Registered Nurse in Orlando, Florida.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,223 in Home Health Registered Nurse, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
62
Medicare Part D claims · 48 beneficiaries · Home Health Registered Nurse avg: 1K
MIPS score
77.4/100
▼ 6 pts below national avg 83.1 · Above neutral
Industry payments
$23.72
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Lastacia Bush, APRN reported a CMS MIPS final score of 77.4/100 - below the 83.1 national average - and filed 62 Medicare Part D claims in 2023.
- 77.4/100
- 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
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
Where Lastacia Bush, APRN sits
This provider among home health registered nurse peers
Across the 17 home health registered nurse providers who report both Medicare Part D prescribing and a MIPS quality score, Lastacia Bush, APRN writes more Part D claims than 6% of them and scores higher on MIPS quality than 35% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one home health registered nurse peer from a representative sample of 16; the gold marker is Lastacia Bush, APRN. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Lastacia Bush, APRN?
Below national averagePrimary specialty
Home Health Registered Nurse
Medicare Part D claims
62 94% vs specialty avg
MIPS final score
77.4/100 5.7 pts vs avg
Specialty distribution in Florida
How Home Health Registered Nurse compares to other specialties among Florida providers
Medicare quality performance, MIPS
Lastacia Bush, APRN's 2023 MIPS final score plotted against the Home Health Registered Nurse national average
- MIPS Final Score
- 77.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Home Health Registered Nurse) - 77.4/100 vs national avg 83.1
How MIPS and board certification work
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.
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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 77.4/100 for the 2023 performance year (Quality 81.2, Cost 59.1), compared with the national average of 83.1.
Home Health Registered Nurse is a mid-sized specialty nationwide, with 9,223 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
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.
9,223
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.
Dr. Mary Lou Abella
RN
Delray Beach, FL
Dr. Vicente Acosta
RN
Pembroke Pines, FL
Dr. Iona Afflick
RN/BSN
Apopka, FL
Valerie Agholor
Tampa, FL
Anisley Aguila
Miami, FL
Compare Home Health Registered Nurse nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Florida medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Home Health Registered Nurse peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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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 77.4/100 (Quality: 81.2, Cost: 59.1). 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 9,223 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.