MARIVIC RUSTIA – Acute Care Nurse Practitioner, NPI 1376012104
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for MARIVIC RUSTIA
101 US HWY 75
DENISON, TX 750201553
Phone: (903) 463-0003
Type: Location
211 E CANYON GROVE RD APT 131
KNOLLWOOD, TX 750923913
Phone: (682) 240-5523
Type: Mailing
2222 NW LOVEJOY ST STE 411
PORTLAND, OR 972105102
Phone: (503) 413-5598
Type: Location
255 SW HARRISON ST APT 11D
PORTLAND, OR 972015387
Phone: (682) 240-5523
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $178.
Total Amount is formed as General ($178) + Research ($0) + Ownership ($0) = $178.
Last reported payment date: 2024-04-04 • Largest payer in this snapshot: ZOLL Respicardia, Inc. ($178).
Total Amount
$178
General + Research + Ownership
Payments
1
Total payment records
General Amount
$178
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZOLL Respicardia, Inc. | $178 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-08-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210805002440 | I | Nurse Practitioner | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 122 | 96 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 69 | 66 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 44 | 33 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 25 | 25 | $0 |
Insurance plans in this area (ZIP 75020)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Internal Medicine | OR | |
| Vascular Surgery, General Surgery | OR | |
| Physician Assistant | OR | |
| Internal Medicine | OR | |
| Critical Care (Intensivists) | OR | |
| - | OR | |
| Internal Medicine | OR | |
| Internal Medicine | OR | |
| Nurse Practitioner | OR | |
| - | OR |
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