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KELLY J. BUSTOS NURSE PRACTICTIONER
NPI 1467603159
Nurse Practitioner - Family in Rancho Mirage, CA

Active since October 01, 2008PECOS Enrolled
71-511 HIGHWAY 111, SUITE H, RANCHO MIRAGE, CA 92270(760) 773-2200(760) 773-2202 Get Directions Write a Review

NPPES record last updated: March 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly J. Bustos Nurse Practictioner NPPES

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

KELLY J. BUSTOS NURSE PRACTICTIONER (NPI 1467603159) is an individual family provider in Rancho Mirage, California, licensed in California (17546) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467603159
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY J. BUSTOSCredential: NURSE PRACTICTIONER
Location Address71-511 HIGHWAY 111, SUITE HRancho Mirage, CA 92270-4465
Mailing Address71-511 Highway 111, Suite HRancho Mirage, CA 92270-4465 · (760) 773-2200 · Fax (760) 773-2202
Phone(760) 773-2200
Fax(760) 773-2202
Sole ProprietorNo
Enumeration DateOctober 1, 2008
Last NPPES UpdateMarch 1, 2016
✔ NPI 1467603159 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 CA · 17546
71-511 HIGHWAY 111, Rancho Mirage, CA 92270
Open in Google Maps ↗

Other Identifiers 1

Other643068CA · Registered Nurse

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly J. Bustos Nurse Practictioner 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 92270 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLOTTE SOFIA JANE DAUG FNP
Nurse Practitioner
71-511 HIGHWAY 111, SUITE H
RANCHO MIRAGE, CA 92270
Riverside County (760) 773-2200

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 Kelly Bustos's NPI number?

The NPI number for Kelly Bustos is 1467603159. It was assigned to this individual provider in the NPPES registry on October 1, 2008.

Where is Kelly Bustos located?

Kelly Bustos practices at 71-511 Highway 111 Suite H, Rancho Mirage, CA 92270. The listed phone number is (760) 773-2200.

What is Kelly Bustos's specialty?

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

Is Kelly Bustos enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Bustos was last updated on March 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.