MIREYA NICHOL BUSTAMANTE
NPI 1992541668
Nurse Practitioner - Family in Miami, FL

Q: What is Mireya Bustamante's NPI number?

The NPI number for Mireya Bustamante is 1992541668. It was assigned to this individual provider in the NPPES registry on July 2, 2024.

Q: What is Mireya Bustamante's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mireya Bustamante was last updated on May 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 02, 2024PECOS EnrolledAccepts Medicare Assignment

1501 BISCAYNE BLVD, MIAMI, FL 33132(877) 870-0323(866) 427-3798 Get Directions Write a Review

NPPES record last updated: May 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 25, 2026, May 23, 2026, Jul 2, 2024 (3 updates tracked since 2024).

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About Mireya Nichol Bustamante NPPES

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

MIREYA NICHOL BUSTAMANTE (NPI 1992541668) is an individual family provider in Miami, Florida, licensed in Texas (1000744) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1992541668

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMIREYA NICHOL BUSTAMANTE

Location Address1501 BISCAYNE BLVDMiami, FL 33132-1449

Mailing Address6721 Piedras Blanco DrAustin, TX 78747-4084 · (512) 767-4115 · Fax (866) 427-3798

Phone(877) 870-0323

Fax(866) 427-3798

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 2, 2024

Last NPPES UpdateMay 25, 20263 updates tracked since enumeration

NPPES CertifiedMay 25, 2026

✔ NPI 1992541668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 1000744

1501 BISCAYNE BLVD, Miami, FL 33132

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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

Mireya Nichol 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.

PECOS PAC ID6608305180

PECOS Enrollment IDI20250129000609, I20251208003338, I20260227002584, I20260319001575

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.

Medicare Billing Reassignments

Medicare enrollment records show Mireya Bustamante reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gr Medical PC

207 mi

Internal Medicine

7901 4TH ST N STE 300
St Petersburg, FL 33702

Reassigned Medicare billing, California enrollment
4 clinicians in this Medicare group

NPI 1649086331 (949) 506-0640

Chaim Gitelis Do PC

1,109 mi

Internal Medicine

33 CORPORATE DR
Orangeburg, NY 10962

Reassigned Medicare billing, Florida, Pennsylvania and Texas enrollments
40 clinicians in this Medicare group

NPI 1154763894 (718) 534-0689

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33132 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

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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.

Other Providers at the Same Location NPPES 11

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

JACQUELINE JOHNSON AGNP

Nurse Practitioner (Gerontology)