Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Vanderbosch Bush, MHS, PA-C

Individual provider Physician Assistant · NPI 1447628672

Nicole Vanderbosch Bush, MHS, PA-C is a Physician Assistant in Charlotte, North Carolina. Qualified in 2015, 11 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
11
Licensed in
NC
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7903 Providence Rd Ste 100
Charlotte, NC 28277-9763
Phone: (704) 316-4460
Fax: (704) 316-4466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10810 Mallard Creek Rd, Charlotte, NC 28262-9786 — (704) 516-8000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-05950 (NC)

Record details

NPI number1447628672
Entity typeIndividual (Type 1)
GenderFemale
Credentials MHS , PA-C
Sole proprietorNo
NPI enumeratedSeptember 3, 2015
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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