MS. JOAN CLAIRE OBMANA REBUSTILLO PA-C
NPI 1770459075
Physician Assistant in Herkimer, NY

Q: What is Joan Claire Rebustillo's NPI number?

The NPI number for Joan Claire Rebustillo is 1770459075. It was assigned to this individual provider in the NPPES registry on October 14, 2025.

Q: What is Joan Claire Rebustillo's specialty?

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

Active since October 14, 2025PECOS EnrolledAccepts Medicare Assignment

201 E STATE ST, HERKIMER, NY 13350(315) 574-2300 Get Directions Write a Review

NPPES record last updated: February 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Ms. Joan Claire Obmana Rebustillo Pa-c NPPES

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

MS. JOAN CLAIRE OBMANA REBUSTILLO PA-C (NPI 1770459075) is an individual physician assistant in Herkimer, New York and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1770459075

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. JOAN CLAIRE OBMANA REBUSTILLOCredential: PA-C

Location Address201 E STATE STHerkimer, NY 13350-2389

Mailing Address201 E State StHerkimer, NY 13350-2389 · (315) 574-2300

Phone(315) 574-2300

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 14, 2025

Last NPPES UpdateFebruary 28, 2026

NPPES CertifiedFebruary 28, 2026

✔ NPI 1770459075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

201 E STATE ST, Herkimer, NY 13350

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Ms. Joan Claire Obmana Rebustillo Pa-c 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 ID3173007846

PECOS Enrollment IDI20260319004131

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.

Hospital Affiliations CMS Care Compare

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

Wynn Hospital

Acute Care Hospitals · Utica, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330044

Location111 Hospital DriveUtica, NY 13502 · Oneida County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13350 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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.

Leave this field empty

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MANDEEP KATARIA MD

Family Medicine