MRS. MARY BETH BUSTOS MSN, APRN, FNP-C
NPI 1306482518
Nurse Practitioner - Family in Portage, IN

Q: What is Mary Bustos's NPI number?

The NPI number for Mary Bustos is 1306482518. It was assigned to this individual provider in the NPPES registry on November 22, 2019.

Q: What is Mary Bustos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Bustos was last updated on June 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 22, 2019PECOS Enrolled

6050 STERLING CREEK RD, PORTAGE, IN 46368(219) 763-8112 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 8, 2021, Jul 16, 2020, Nov 22, 2019 (3 updates tracked since 2019).

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About Mrs. Mary Beth Bustos Msn, Aprn, Fnp-c NPPES

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

MRS. MARY BETH BUSTOS MSN, APRN, FNP-C (NPI 1306482518) is an individual family provider in Portage, Indiana, licensed in Illinois (209.020437) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306482518

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. MARY BETH BUSTOSCredential: MSN, APRN, FNP-C

Location Address6050 STERLING CREEK RDPortage, IN 46368-7752

Mailing Address16401 Pepperwood TrlOrland Hills, IL 60487-5648 · (708) 522-2372

Phone(219) 763-8112

Sole ProprietorYes

Enumeration DateNovember 22, 2019

Last NPPES UpdateJune 8, 20213 updates tracked since enumeration

NPPES CertifiedJune 8, 2021

✔ NPI 1306482518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209.020437

6050 STERLING CREEK RD, Portage, IN 46368

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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)

Mrs. Mary Beth Bustos Msn, Aprn, Fnp-c 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 46368 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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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.

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