MADINA RUSTAMOVA APRN, FNP-BC
NPI 1356925671
Nurse Practitioner - Family in Hollywood, FL

Q: 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.

Q: What is Madina Rustamova'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 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.

Active since May 12, 2021PECOS Enrolled

3501 JOHNSON ST, HOLLYWOOD, FL 33021(954) 987-2000 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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

NPI1356925671

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMADINA RUSTAMOVACredential: APRN, FNP-BC

Location Address3501 JOHNSON STHollywood, FL 33021-5421

Mailing Address6093 Nw 62nd TerParkland, FL 33067-1538 · (954) 578-4948

Phone(954) 987-2000

Sole ProprietorYes

Enumeration DateMay 12, 2021

NPPES CertifiedMay 12, 2021

✔ NPI 1356925671 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 FL · 11010473

3501 JOHNSON ST, Hollywood, FL 33021

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madina Rustamova Aprn, Fnp-bc 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 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.

New Patient

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

DR. LESTER GOLDBERG M.D.

Radiology (Diagnostic Radiology)