RUSTICA ATIENZA APN
NPI 1538411830
Nurse Practitioner in Pompton Plains, NJ

Q: What is Rustica Atienza's NPI number?

The NPI number for Rustica Atienza is 1538411830. It was assigned to this individual provider in the NPPES registry on October 10, 2012.

Q: What is Rustica Atienza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Rustica Atienza was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 October 10, 2012PECOS EnrolledAccepts Medicare Assignment

1 CEDAR CREST VILLAGE DR, POMPTON PLAINS, NJ 07444(973) 831-3540(973) 831-3503 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 21, 2022, Aug 1, 2017 (2 updates tracked since 2017).

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About Rustica Atienza Apn NPPES

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

RUSTICA ATIENZA APN (NPI 1538411830) is an individual nurse practitioner in Pompton Plains, New Jersey, licensed in New Jersey (26NJ00383800) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with Saint Clare's Hospital/ Denville Campus, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1538411830

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameRUSTICA ATIENZACredential: APN

Location Address1 CEDAR CREST VILLAGE DRPompton Plains, NJ 07444-2100

Mailing Address5730 Executive Dr Ste 230Catonsville, MD 21228-1762 · (973) 831-3540

Phone(973) 831-3540

Fax(973) 831-3503

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateOctober 10, 2012

Last NPPES UpdateDecember 21, 20222 updates tracked since enumeration

NPPES CertifiedDecember 21, 2022

✔ NPI 1538411830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NJ · 26NJ00383800

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1 CEDAR CREST VILLAGE DR, Pompton Plains, NJ 07444

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Rustica Atienza 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 ID1759532658

PECOS Enrollment IDI20121126000503

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

45 services11 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

37 services22 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Saint Clare's Hospital/ Denville Campus

Acute Care Hospitals · Denville, NJ

3/5 CMS rating

OwnershipProprietary

CMS Certification Number310050

Location25 Pocono RoadDenville, NJ 07834 · Morris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07444 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

89%119 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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. LORELANE PAGULAYAN TINDOC M.D.

Family Medicine