RANDI MARIE BUSTIN PA
NPI 1003069022
Physician Assistant in Tampa, FL

Q: What is Randi Bustin's NPI number?

The NPI number for Randi Bustin is 1003069022. It was assigned to this individual provider in the NPPES registry on November 4, 2008. The provider is also known as Randi Marie Marmalich PA.

Q: What is Randi Bustin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Randi Bustin was last updated on October 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 04, 2008PECOS Enrolled

1502 E FOWLER AVE, TAMPA, FL 33612(813) 866-0950(813) 866-0929 Get Directions Write a Review

NPPES record last updated: October 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Randi Marie Bustin Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDI MARIE BUSTIN PA (NPI 1003069022) is an individual physician assistant in Tampa, Florida, licensed in Florida (PA9104629) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003069022

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameRANDI MARIE BUSTINCredential: PA

Location Address1502 E FOWLER AVETampa, FL 33612-5416

Mailing AddressPo Box 82969Tampa, FL 33682-2969 · (813) 866-0930 · Fax (813) 866-0929

Phone(813) 866-0950

Fax(813) 866-0929

Sole ProprietorNo

Enumeration DateNovember 4, 2008

Last NPPES UpdateOctober 28, 2011

✔ NPI 1003069022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9104629

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1502 E FOWLER AVE, Tampa, FL 33612

Open in Google Maps ↗

Other Names 1

Former Name (1)Randi Marie Marmalich Pa

Other Identifiers 2

Medicaid000694400FL

Medicare PINBI553ZFL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randi Marie Bustin Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

78 services75 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

49 services48 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANJALI KRISHNAKUMAR RAJANI D.D.S.

Dentist (Pediatric Dentistry)