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MRS. CHECHELLE MARIE TABLANG BUSTAMANTE FNP
NPI 1487850715
Nurse Practitioner - Primary Care in Brookeville, MD

Active since June 24, 2007PECOS EnrolledAccepts Medicare Assignment
18409 SHADY VIEW LN, BROOKEVILLE, MD 20833(301) 273-5195 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Chechelle Marie Tablang Bustamante Fnp NPPES

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

MRS. CHECHELLE MARIE TABLANG BUSTAMANTE FNP (NPI 1487850715) is an individual primary care provider in Brookeville, Maryland, licensed in Maryland (R172810) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of American Medical Missionary College (2024).

NPPES Registry Identity

NPI1487850715
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. CHECHELLE MARIE TABLANG BUSTAMANTECredential: FNP
Location Address18409 SHADY VIEW LNBrookeville, MD 20833-2842
Mailing Address18409 Shady View LnBrookeville, MD 20833-2842 · (301) 273-5195
Phone(301) 273-5195
Sole ProprietorYes
Medical School CMSAmerican Medical Missionary CollegeGraduated 2024
Enumeration DateJune 24, 2007
Last NPPES UpdateMay 1, 2024
NPPES CertifiedMay 1, 2024
✔ NPI 1487850715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in MD · R172810
18409 SHADY VIEW LN, Brookeville, MD 20833
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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 and accepts Medicare assignment

Mrs. Chechelle Marie Tablang Bustamante Fnp 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 ID8224567110
PECOS Enrollment IDI20250124003254, I20250129002725
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 20833 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 Chechelle Marie Bustamante's NPI number?

The NPI number for Chechelle Marie Bustamante is 1487850715. It was assigned to this individual provider in the NPPES registry on June 24, 2007.

Where is Chechelle Marie Bustamante located?

Chechelle Marie Bustamante practices at 18409 Shady View Ln, Brookeville, MD 20833. The listed phone number is (301) 273-5195.

What is Chechelle Marie Bustamante's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Chechelle Marie Bustamante enrolled in Medicare?

Yes. Chechelle Marie 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.

When was this NPI record last updated?

The NPPES record for Chechelle Marie Bustamante was last updated on May 1, 2024. 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.