MADINA RUSTAMOVA APRN, FNP-BC
NPI 1356925671
Nurse Practitioner - Family in Hollywood, FL
About Madina Rustamova Aprn, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADINA RUSTAMOVA APRN, FNP-BC (NPI 1356925671) is an individual family provider in Hollywood, Florida, licensed in Florida (11010473) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Madina Rustamova Aprn, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Madina Rustamova reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Parkland, FL 33067
- Reassigned Medicare billing, Florida enrollment
- 31 clinicians in this Medicare group
West Palm Beach, FL 33407
- Reassigned Medicare billing, Florida enrollment
- 33 clinicians in this Medicare group
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 33021 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.
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
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 Madina Rustamova's NPI number?
The NPI number for Madina Rustamova is 1356925671. It was assigned to this individual provider in the NPPES registry on May 12, 2021.
Where is Madina Rustamova located?
Madina Rustamova practices at 3501 Johnson St, Hollywood, FL 33021. The listed phone number is (954) 987-2000.
What is Madina Rustamova's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Madina Rustamova enrolled in Medicare?
Yes. Madina Rustamova is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Madina Rustamova's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Madina Rustamova reassigns Medicare benefits to 2 organizations: Swallowing Diagnostics Inc (Parkland, FL) and Advanced Cardiovascular Consultants LLC (West Palm Beach, FL). 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 Madina Rustamova'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 Madina Rustamova was last updated on May 12, 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.
# Madina Rustamova, APRN, FNP-BC · NPI 1356925671
Family physician in Hollywood, Florida. Individual provider, active in the CMS NPPES registry since May 12, 2021.
## Identity
- **NPI:** 1356925671 (Entity type: Individual)
- **Enumerated:** May 12, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11010473 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3501 JOHNSON ST, Hollywood, FL 33021-5421
- **Phone:** (954) 987-2000
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Swallowing Diagnostics Inc (NPI 1710954672, Parkland, FL); Advanced Cardiovascular Consultants LLC (NPI 1306329370, West Palm Beach, FL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 12, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1356925671) · Data from the CMS NPPES public registry.