VICKY BUSTAMANTE APN
NPI 1376080440
Nurse Practitioner - Family in Park Ridge, IL

Q: What is Vicky Bustamante's NPI number?

The NPI number for Vicky Bustamante is 1376080440. It was assigned to this individual provider in the NPPES registry on January 26, 2017.

Q: What is Vicky Bustamante'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 Vicky Bustamante was last updated on December 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 January 26, 2017PECOS EnrolledAccepts Medicare Assignment

1875 DEMPSTER ST STE B06, PARK RIDGE, IL 60068(847) 723-7024(847) 723-7369 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2023, Nov 21, 2023, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

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About Vicky Bustamante Apn NPPES

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

VICKY BUSTAMANTE APN (NPI 1376080440) is an individual family provider in Park Ridge, Illinois, licensed in Illinois (209015209) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with Advocate Illinois Masonic Medical Center, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1376080440

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameVICKY BUSTAMANTECredential: APN

Location Address1875 DEMPSTER ST STE B06Park Ridge, IL 60068-1186

Mailing Address29373 Network PlChicago, IL 60673-1186 · (847) 390-5900

Phone(847) 723-7024

Fax(847) 723-7369

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJanuary 26, 2017

Last NPPES UpdateDecember 14, 20234 updates tracked since enumeration

NPPES CertifiedDecember 14, 2023

✔ NPI 1376080440 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 · 209015209

1875 DEMPSTER ST STE B06, Park Ridge, IL 60068

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Secondary Practice Location 1

Location 13000 N Halsted St Ste 323Chicago, IL 60657-5196 · Phone (847) 723-7024 · Fax (847) 723-7369

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vicky Bustamante Apn 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 ID4082979877

PECOS Enrollment IDI20180529000147

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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

163 services118 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

115 services115 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Illinois Masonic Medical Center

Acute Care Hospitals · Chicago, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140182

Location836 West Wellington AvenueChicago, IL 60657 · Cook County

Emergency services Birthing friendly

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140223

Location1775 Dempster StPark Ridge, IL 60068 · Cook County

Emergency services Birthing friendly

Advocate Good Shepherd Hospital

Acute Care Hospitals · Barrington, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140291

Location450 West Highway 22Barrington, IL 60010 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

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 Vicky Bustamante's NPI number?

The NPI number for Vicky Bustamante is 1376080440. It was assigned to this individual provider in the NPPES registry on January 26, 2017.

Where is Vicky Bustamante located?

Vicky Bustamante practices at 1875 Dempster St Ste B06, Park Ridge, IL 60068. The listed phone number is (847) 723-7024.

What is Vicky Bustamante's specialty?

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

Is Vicky Bustamante enrolled in Medicare?

Yes. Vicky Bustamante is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Vicky Bustamante affiliated with any hospitals?

According to CMS data, Vicky Bustamante is affiliated with Advocate Illinois Masonic Medical Center, Advocate Lutheran General Hospital and Advocate Good Shepherd Hospital.

When was this NPI record last updated?

The NPPES record for Vicky Bustamante was last updated on December 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.