KASEY BUSTAMANTE
NPI 1750089132
Nurse Practitioner - Family in Dillon, SC
About Kasey Bustamante NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KASEY BUSTAMANTE (NPI 1750089132) is an individual family provider in Dillon, South Carolina, licensed in South Carolina (28517) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with Mcleod Medical Center - Dillon, and maintains a secondary practice location in Latta.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Kasey Bustamante 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mcleod Medical Center - Dillon
Acute Care Hospitals · Dillon, SCMcleod Regional Medical Center-Pee Dee
Acute Care Hospitals · Florence, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29536 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
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 Kasey Bustamante's NPI number?
The NPI number for Kasey Bustamante is 1750089132. It was assigned to this individual provider in the NPPES registry on February 16, 2023.
Where is Kasey Bustamante located?
Kasey Bustamante practices at 705 N 8th Ave Ste 2B, Dillon, SC 29536. The listed phone number is (843) 841-3846.
What is Kasey Bustamante's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kasey Bustamante enrolled in Medicare?
Yes. Kasey 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.
Is Kasey Bustamante affiliated with any hospitals?
According to CMS data, Kasey Bustamante is affiliated with Mcleod Medical Center - Dillon and Mcleod Regional Medical Center-Pee Dee.
When was this NPI record last updated?
The NPPES record for Kasey Bustamante was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Kasey Bustamante · NPI 1750089132
Family physician in Dillon, South Carolina. Individual provider, active in the CMS NPPES registry since February 16, 2023.
## Identity
- **NPI:** 1750089132 (Entity type: Individual)
- **Enumerated:** February 16, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 28517 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 705 N 8TH AVE STE 2B, Dillon, SC 29536-2549
- **Phone:** (843) 841-3846
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** January 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1750089132) · Data from the CMS NPPES public registry.