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MARIA XIMENA BUSTAMANTE PA-C
NPI 1669982401
Physician Assistant in Bonita Springs, FL

Active since October 06, 2017PECOS Enrolled
4061 BONITA BEACH RD STE 101, BONITA SPRINGS, FL 34134(239) 301-0105(239) 288-7307 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maria Ximena Bustamante Pa-c NPPES

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

MARIA XIMENA BUSTAMANTE PA-C (NPI 1669982401) is an individual physician assistant in Bonita Springs, Florida, licensed in Florida (PA9110780) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Myers.

NPPES Registry Identity

NPI1669982401
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARIA XIMENA BUSTAMANTECredential: PA-C
Location Address4061 BONITA BEACH RD STE 101Bonita Springs, FL 34134-4073
Mailing Address4061 Bonita Beach Rd Ste 101Bonita Springs, FL 34134-4073 · (239) 301-0105 · Fax (239) 288-7307
Phone(239) 301-0105
Fax(239) 288-7307
Sole ProprietorNo
Enumeration DateOctober 6, 2017
Last NPPES UpdateMarch 17, 2018
✔ NPI 1669982401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9110780
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4061 BONITA BEACH RD STE 101, Bonita Springs, FL 34134
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Secondary Practice Location 1

Location 114350 Metropolis Ave Ste 2Fort Myers, FL 33912-4430 · Phone (239) 301-0105 · Fax (239) 288-7307

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maria Ximena Bustamante Pa-c 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 34134 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
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.

GUILLERMO BOHM MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4061 BONITA BEACH RD STE 101
BONITA SPRINGS, FL 34134
Lee County (239) 301-0105

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 Maria Bustamante's NPI number?

The NPI number for Maria Bustamante is 1669982401. It was assigned to this individual provider in the NPPES registry on October 6, 2017.

Where is Maria Bustamante located?

Maria Bustamante practices at 4061 Bonita Beach Rd Ste 101, Bonita Springs, FL 34134. The listed phone number is (239) 301-0105.

What is Maria Bustamante's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Maria Bustamante enrolled in Medicare?

Yes. Maria Bustamante is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maria Bustamante was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.