JENNIFER BUSTAMANTE DO
NPI 1205290624
Family Medicine in Clearwater, FL

Q: What is Jennifer Bustamante's NPI number?

The NPI number for Jennifer Bustamante is 1205290624. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Q: What is Jennifer Bustamante's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 12, 2016PECOS EnrolledAccepts Medicare Assignment

14100 58TH ST N, CLEARWATER, FL 33760(727) 824-8181 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 18, 2025, Mar 23, 2023, Aug 21, 2019 (3 updates tracked since 2019).

On this page

About Jennifer Bustamante Do NPPES

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

JENNIFER BUSTAMANTE DO (NPI 1205290624) is an individual family medicine provider in Clearwater, Florida, licensed in Florida (OS15163) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1205290624

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJENNIFER BUSTAMANTECredential: DO

Location Address14100 58TH ST NClearwater, FL 33760-9900

Mailing Address14100 58th St NClearwater, FL 33760-9900 · (727) 824-8181

Phone(727) 824-8181

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 12, 2016

Last NPPES UpdateMarch 18, 20253 updates tracked since enumeration

NPPES CertifiedMarch 18, 2025

✔ NPI 1205290624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · OS15163

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

14100 58TH ST N, Clearwater, FL 33760

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Bustamante Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820387947

PECOS Enrollment IDI20200129002801

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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Bustamante reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Center Of Pinellas Inc

Same address

Federally Qualified Health Center (FQHC)

14100 58TH ST N STE 100
Clearwater, FL 33760

Reassigned Medicare billing, Florida enrollment
131 clinicians in this Medicare group

NPI 1467873315 (727) 824-8181

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

25 services17 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33760 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$169.80 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ALYSSA BENSON

Nurse Practitioner (Family)