CORNELIO EMMANUEL BENGZON RUSTIA FNP
NPI 1033624036
Nurse Practitioner - Family in San Jacinto, CA

Active since December 12, 2017PECOS Enrolled
1324 WILLOWSTONE CT, SAN JACINTO, CA 92582(951) 665-3264 Get Directions Write a Review

NPPES record last updated: December 12, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cornelio Emmanuel Bengzon Rustia Fnp NPPES

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

CORNELIO EMMANUEL BENGZON RUSTIA FNP (NPI 1033624036) is an individual family provider in San Jacinto, California, licensed in California (NP95007135) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033624036
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCORNELIO EMMANUEL BENGZON RUSTIACredential: FNP
Location Address1324 WILLOWSTONE CTSan Jacinto, CA 92582-4247
Mailing Address1324 Willowstone CtSan Jacinto, CA 92582-4247
Sole ProprietorNo
Enumeration DateDecember 12, 2017
NPI 1033624036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · NP95007135
Also ListedRegistered NurseTaxonomy 163W00000X · License RN534950 (CA)
1324 WILLOWSTONE CT, San Jacinto, CA 92582

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Cornelio Emmanuel Bengzon Rustia Fnp 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.

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 92582 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $91.88
  • Minimum New Patient Price $59.6
  • Maximum New Patient Price $179.42
  • Average New Patient Copayment $22.97
  • Minimum New Patient Copayment $14.9
  • Maximum New Patient Copayment $44.85

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $104.64
  • Minimum Established Patient Price $19.37
  • Maximum Established Patient Price $146.42
  • Average Established Patient Copayment $26.16
  • Minimum Established Patient Copayment $4.84
  • Maximum Established Patient Copayment $36.6

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033624036, enumerated as an "individual" on December 12, 2017.

The provider is located at 1324 WILLOWSTONE CT SAN JACINTO, CA 92582 and the phone number is (951) 665-3264.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.