1. Home
  2. Directory
  3. Indiana
  4. Portage
  5. Nurse Practitioner
  6. NPI Profile

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

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: November 01, 2026.

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

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, CareSource 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 (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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mary Bustos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northshore Health Centers, Inc.
2.1 mi
Federally Qualified Health Center (FQHC)
6050 STERLING CREEK RD
Portage, IN 46368
  • Reassigned Medicare billing, Indiana enrollment
  • 134 clinicians in this Medicare group
NPI 1407061336 (219) 763-8112
Midwest Express Care 2, Inc
42 mi
Urgent Care
40 75TH ST
Willowbrook, IL 60527
  • Reassigned Medicare billing, Illinois enrollment
  • 410 clinicians in this Medicare group
NPI 1548692890 (630) 400-4060

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 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.

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.

DANA DAWNIELLE JONES MD
Obstetrics & Gynecology
6050 STERLING CREEK RD
PORTAGE, IN 46368
Porter County (219) 763-8112
REBECCA RUSHMORE MSW, LSW
Social Worker
6050 STERLING CREEK RD
PORTAGE, IN 46368
Porter County (219) 763-8112
GRETCHEN M HANEY MSN, APRN, FNP-BC
Family Medicine
6050 STERLING CREEK RD
PORTAGE, IN 46368
Porter County (219) 763-8112
JESSICA ROSE BALDWIN NP
Registered Nurse (Women's Health Care, Ambulatory)
6050 STERLING CREEK RD
PORTAGE, IN 46368
Porter County (219) 763-8112
DR. FRANK X WEILNHAMMER M.D.
Family Medicine
6050 STERLING CREEK RD
PORTAGE, IN 46368
Porter County (219) 763-8112
AUDREY SIMONE DAWSON OD
Optometrist
6050 STERLING CREEK RD
PORTAGE, IN 46368
Porter County (219) 763-8112
DR. DANIEL RALEIGH DEWAR D.C.
Chiropractor
6050 STERLING CREEK RD
PORTAGE, IN 46368
Porter County (219) 763-8112
DR. MICHAEL ANTHONY VILLANUEVA DC
Chiropractor
6050 STERLING CREEK RD
PORTAGE, IN 46368
Porter County (219) 763-8112

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 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.

Where is Mary Bustos located?

Mary Bustos practices at 6050 Sterling Creek Rd, Portage, IN 46368. The listed phone number is (219) 763-8112.

What is Mary Bustos's specialty?

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

Is Mary Bustos enrolled in Medicare?

Yes. Mary Bustos is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Bustos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Bustos reassigns Medicare benefits to 2 organizations: Northshore Health Centers, Inc. (Portage, IN) and Midwest Express Care 2, Inc (Willowbrook, IL). Each 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 Mary Bustos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Bustos accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, CareSource and Cigna Healthcare list Mary Bustos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Bustos was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.