JESSICA T BUSTOS ANP, RN
NPI 1619175791
Nurse Practitioner - Adult Health in Pinehurst, NC
About Jessica T Bustos Anp, Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA T BUSTOS ANP, RN (NPI 1619175791) is an individual adult health provider in Pinehurst, North Carolina, licensed in New York (304681) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jessica T Bustos Anp, Rn 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.
Medicare Billing Reassignment
Medicare enrollment records show Jessica Bustos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pinehurst, NC 28374
- Reassigned Medicare billing, North Carolina enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jessica Bustos's NPI number?
The NPI number for Jessica Bustos is 1619175791. It was assigned to this individual provider in the NPPES registry on July 10, 2007.
Where is Jessica Bustos located?
Jessica Bustos practices at 285 Olmsted Blvd Suite 1, Pinehurst, NC 28374. The listed phone number is (910) 295-7246.
What is Jessica Bustos's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Jessica Bustos enrolled in Medicare?
Yes. Jessica Bustos 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.
Which organization bills Medicare for Jessica Bustos's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Bustos reassigns Medicare benefits to Solas Health PLLC (Pinehurst, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Bustos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Bustos accept?
Health plans from Cigna Healthcare and UnitedHealthcare list Jessica Bustos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jessica Bustos was last updated on November 9, 2015. 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.
# Jessica T Bustos, ANP, RN · NPI 1619175791
Adult Health physician in Pinehurst, North Carolina. Individual provider, active in the CMS NPPES registry since July 10, 2007.
## Identity
- **NPI:** 1619175791 (Entity type: Individual)
- **Enumerated:** July 10, 2007
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 304681 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 285 OLMSTED BLVD, SUITE 1, Pinehurst, NC 28374-8731
- **Phone:** (910) 295-7246 · **Fax:** (910) 222-3168
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Solas Health PLLC (NPI 1710046925, Pinehurst, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** November 9, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1619175791) · Data from the CMS NPPES public registry.