TERESA MUSTOVICH CNS
NPI 1063732949
Clinical Nurse Specialist - Adult Health in Dayton, OH

Q: What is Teresa Mustovich's NPI number?

The NPI number for Teresa Mustovich is 1063732949. It was assigned to this individual provider in the NPPES registry on June 2, 2010.

Q: What is Teresa Mustovich's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

Q: When was this NPI record last updated?

The NPPES record for Teresa Mustovich was last updated on December 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 June 02, 2010PECOS Enrolled

2222 PHILADELPHIA DR, SUITE 4505, DAYTON, OH 45406(937) 434-4363(937) 734-4181 Get Directions Write a Review

NPPES record last updated: December 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Teresa Mustovich Cns NPPES

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

TERESA MUSTOVICH CNS (NPI 1063732949) is an individual adult health provider in Dayton, Ohio, licensed in Ohio (COA11184NS) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063732949

Entity TypeIndividualFemale

Primary Taxonomy364SA2200X

Provider Legal NameTERESA MUSTOVICHCredential: CNS

Location Address2222 PHILADELPHIA DR, SUITE 4505Dayton, OH 45406-1813

Mailing Address2222 Philadelphia Dr, Suite 4505Dayton, OH 45406-1813 · (937) 434-4363 · Fax (937) 734-4181

Phone(937) 434-4363

Fax(937) 734-4181

Sole ProprietorNo

Enumeration DateJune 2, 2010

Last NPPES UpdateDecember 18, 2013

✔ NPI 1063732949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SA2200X

License✔ Licensed in OH · COA11184NS

2222 PHILADELPHIA DR, Dayton, OH 45406

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Other Identifiers 2

Medicare PINH092060OH

Medicaid3090346OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teresa Mustovich Cns 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 CMS claims · ZIP area

Typical Medicare office-visit costs in the 45406 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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.

SUMIKO S SARLE M.D.

Anesthesiology

2222 PHILADELPHIA DR
DAYTON, OH 45406

Montgomery County (937) 278-2612

DR. PAVAN SOMUSETTY M.D.

Psychiatry & Neurology (Psychiatry)

2222 PHILADELPHIA DR
DAYTON, OH 45406

Montgomery County (937) 278-2612

DR. THOMAS JAMES FRITZ MD

Anesthesiology

2222 PHILADELPHIA DR
DAYTON, OH 45406

Montgomery County (937) 278-2612

MR. THOMAS B HELLMAN CRNA

Nurse Anesthetist, Certified Registered

2222 PHILADELPHIA DR
DAYTON, OH 45406

Montgomery County (937) 278-2612

TAMARA D WHITT SRNA

Nurse Anesthetist, Certified Registered

2222 PHILADELPHIA DR
DAYTON, OH 45406

Montgomery County (937) 734-2612

MOLLY J HALL MD

Psychiatry & Neurology (Psychiatry)

2222 PHILADELPHIA DR, SUITE 4505
DAYTON, OH 45406

Montgomery County (937) 734-4363

MRS. MICHELE LYNN MARSHALL RN, CNS

Clinical Nurse Specialist

2222 PHILADELPHIA DR
DAYTON, OH 45406

Montgomery County (937) 278-2612

JASON NEAL RATLIFF CRNA

Nurse Anesthetist, Certified Registered

2222 PHILADELPHIA DR
DAYTON, OH 45406

Montgomery County (937) 276-8316

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 Teresa Mustovich's NPI number?

The NPI number for Teresa Mustovich is 1063732949. It was assigned to this individual provider in the NPPES registry on June 2, 2010.

Where is Teresa Mustovich located?

Teresa Mustovich practices at 2222 Philadelphia Dr Suite 4505, Dayton, OH 45406. The listed phone number is (937) 434-4363.

What is Teresa Mustovich's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

Is Teresa Mustovich enrolled in Medicare?

Yes. Teresa Mustovich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Teresa Mustovich was last updated on December 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.