SAMUEL CORREA BUSTILLOS ACNP-AG
NPI 1699289173
Nurse Practitioner - Acute Care in Las Cruces, NM

Active since November 20, 2017PECOS EnrolledAccepts Medicare Assignment
89.28/100
CMS Quality Rating
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011(575) 636-7407 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 21, 2023, Jan 17, 2018, Nov 20, 2017 (3 updates tracked since 2017).

About Samuel Correa Bustillos Acnp-ag NPPES

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

SAMUEL CORREA BUSTILLOS ACNP-AG (NPI 1699289173) is an individual acute care provider in Las Cruces, New Mexico, licensed in New Mexico (CNP-03431) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS, is affiliated with Mountain View Regional Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1699289173
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameSAMUEL CORREA BUSTILLOSCredential: ACNP-AG
Location Address2450 S TELSHOR BLVDLas Cruces, NM 88011-5141
Mailing Address1455 S Valley Dr Ste ALas Cruces, NM 88005-3165 · (575) 526-7777 · Fax (575) 647-1125
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 20, 2017
Last NPPES UpdateAugust 21, 20233 updates tracked since enumeration
NPPES CertifiedAugust 21, 2023
NPI 1699289173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in NM · CNP-03431
2450 S TELSHOR BLVD, Las Cruces, NM 88011

Other Names 1

Professional Name (2)Samuel Correa Bustillos Fnp-c

Accepted 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

Samuel Correa Bustillos Acnp-ag 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 ID4880953579
PECOS Enrollment IDI20180126000683
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 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
196 services189 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
69 services69 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
63 services63 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
20 services19 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Mountain View Regional Medical Center

Acute Care Hospitals · Las Cruces, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320085
Location4311 East Lohman AvenueLas Cruces, NM 88011 · Dona Ana County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88011 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

89.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.56
Promoting Interoperability100
Improvement Activities40

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.

Family Medicine
2450 S TELSHOR BLVD
LAS CRUCES, NM 88011
Student in an Organized Health Care Education/Training Program
2450 S TELSHOR BLVD
LAS CRUCES, NM 88011
Family Medicine
2450 S TELSHOR BLVD
LAS CRUCES, NM 88011
Family Medicine
2450 S TELSHOR BLVD
LAS CRUCES, NM 88011
Family Medicine
2450 S TELSHOR BLVD
LAS CRUCES, NM 88011
Preventive Medicine (Undersea and Hyperbaric Medicine)
2450 S TELSHOR BLVD
LAS CRUCES, NM 88011
Student in an Organized Health Care Education/Training Program
2450 S TELSHOR BLVD
LAS CRUCES, NM 88011
Emergency Medicine
2450 S TELSHOR BLVD
LAS CRUCES, NM 88011

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 Samuel Bustillos's NPI number?

The NPI number for Samuel Bustillos is 1699289173. It was assigned to this individual provider in the NPPES registry on November 20, 2017. The provider is also known as Samuel Correa Bustillos Fnp-C.

Where is Samuel Bustillos located?

Samuel Bustillos practices at 2450 S Telshor Blvd, Las Cruces, NM 88011. The listed phone number is (575) 636-7407.

What is Samuel Bustillos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Samuel Bustillos enrolled in Medicare?

Yes. Samuel Bustillos 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.

What insurance does Samuel Bustillos accept?

Health plans from Blue Cross and Blue Shield of Texas list Samuel Bustillos 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.

Is Samuel Bustillos affiliated with any hospitals?

According to CMS data, Samuel Bustillos is affiliated with Mountain View Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Samuel Bustillos was last updated on August 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.