TERESA MUSTOVICH CNS
NPI 1063732949
Clinical Nurse Specialist - Adult Health in Dayton, OH
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
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Teresa Mustovich Cns is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Teresa Mustovich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dayton, OH 45410
- Reassigned Medicare billing, Ohio enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
DAYTON, OH 45406
DAYTON, OH 45406
DAYTON, OH 45406
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.
Which organization bills Medicare for Teresa Mustovich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Mustovich reassigns Medicare benefits to Nova Behavioral Health, Inc (Dayton, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Teresa Mustovich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Teresa Mustovich, CNS · NPI 1063732949
Adult Health physician in Dayton, Ohio. Individual provider, active in the CMS NPPES registry since June 2, 2010.
## Identity
- **NPI:** 1063732949 (Entity type: Individual)
- **Enumerated:** June 2, 2010
- **Primary specialty:** Clinical Nurse Specialist - Adult Health · taxonomy 364SA2200X
- **State license:** COA11184NS (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 2222 PHILADELPHIA DR, SUITE 4505, Dayton, OH 45406-1813
- **Phone:** (937) 434-4363 · **Fax:** (937) 734-4181
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Nova Behavioral Health, Inc (NPI 1548217748, Dayton, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 18, 2013
- **Other identifiers:** Medicare PIN H092060 (OH); Medicaid 3090346 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1063732949) · Data from the CMS NPPES public registry.