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TAMILA MUSTAFAEVA AGACNP - BC
NPI 1043059769
Nurse Practitioner in Glendale, CA

Active since May 22, 2024PECOS Enrolled
425 N JACKSON ST APT 7, GLENDALE, CA 91206(818) 636-4770 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tamila Mustafaeva Agacnp - Bc NPPES

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

TAMILA MUSTAFAEVA AGACNP - BC (NPI 1043059769) is an individual nurse practitioner in Glendale, California, licensed in California (95029674) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1043059769
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTAMILA MUSTAFAEVACredential: AGACNP - BC
Location Address425 N JACKSON ST APT 7Glendale, CA 91206-3277
Mailing Address425 N Jackson St Apt 7Glendale, CA 91206-3277 · (818) 636-4770
Phone(818) 636-4770
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 22, 2024
Last NPPES UpdateJune 21, 2024
NPPES CertifiedJune 21, 2024
✔ NPI 1043059769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95029674
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 95029674 (CA)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 95029674 (CA)
Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License 95029674 (CA)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 95029674 (CA)
425 N JACKSON ST APT 7, Glendale, CA 91206
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tamila Mustafaeva Agacnp - Bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577094564
PECOS Enrollment IDI20241001003506
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
206 services71 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
65 services17 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91206 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tamila Mustafaeva's NPI number?

The NPI number for Tamila Mustafaeva is 1043059769. It was assigned to this individual provider in the NPPES registry on May 22, 2024.

Where is Tamila Mustafaeva located?

Tamila Mustafaeva practices at 425 N Jackson St Apt 7, Glendale, CA 91206. The listed phone number is (818) 636-4770.

What is Tamila Mustafaeva's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tamila Mustafaeva enrolled in Medicare?

Yes. Tamila Mustafaeva is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tamila Mustafaeva was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.