CORBIN RUSTEBERG
NPI 1043846348
Student in an Organized Health Care Education/Training Program in Charlotte, NC

Q: What is Corbin Rusteberg's NPI number?

The NPI number for Corbin Rusteberg is 1043846348. It was assigned to this individual provider in the NPPES registry on March 18, 2020.

Q: What is Corbin Rusteberg's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Corbin Rusteberg was last updated on March 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 March 18, 2020PECOS Enrolled

1000 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 355-2165(704) 355-8856 Get Directions Write a Review

NPPES record last updated: March 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 30, 2020, Mar 18, 2020 (2 updates tracked since 2020).

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About Corbin Rusteberg NPPES

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

CORBIN RUSTEBERG (NPI 1043846348) is an individual student in an organized health care education/training program in Charlotte, North Carolina and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1043846348

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameCORBIN RUSTEBERG

Location Address1000 BLYTHE BLVDCharlotte, NC 28203-5812

Mailing Address419 Grand BlvdPark Ridge, IL 60068-3432 · (847) 494-8006

Phone(704) 355-2165

Fax(704) 355-8856

Sole ProprietorNo

Enumeration DateMarch 18, 2020

Last NPPES UpdateMarch 30, 20202 updates tracked since enumeration

NPPES CertifiedMarch 30, 2020

✔ NPI 1043846348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1000 BLYTHE BLVD, Charlotte, NC 28203

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Other Names 1

Other Name (5)Corbin Rusteberg

Secondary Practice Location 1

Location 11801 W Wisconsin AveMilwaukee, WI 53233-2186 · Phone (847) 494-8006

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Corbin Rusteberg 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.

Other Providers at the Same Location NPPES 20

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

JENNIFER EGAN M.D.

Pathology (Clinical Pathology/Laboratory Medicine)