Individual provider Active NPI

Erica Bustillo, FNP

  • Family Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1033794052
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
218932 Issued in LA
Practice address
3600 Prytania St Ste 35
New Orleans, LA 70115-3678
Phone
(504) 897-7197
NPI assigned
Mar 11, 2021
Last updated
Mar 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 218932 LA Primary

Addresses

Primary practice location

3600 Prytania St Ste 35
New Orleans, LA 70115-3678

Mailing address

50 Beauregard Dr
Gretna, LA 70053-4853
Phone (504) 388-7962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210413000336 LA Practitioner - Nurse Practitioner 0547678583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crescent City Physicians IncGroup PAC ID 2769370543, 158 clinicians

Practice addresses (Care Compare)

3700 Saint Charles Ave
FL 4
New Orleans, LA 70115-4637
Phone (504) 897-7007

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.25 of 100Reported as group
Quality
71.6
Improvement activities
40
Cost
72.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
218932LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent City Physicians, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Touro Infirmary Past Accepting new patients

Locations

2121 Ridgelake Dr
Fl 3
Metairie, LA 70001
Phone (504) 325-2700

100 W Harrison Ave
Ste 101
New Orleans, LA 70124
Phone (504) 325-2929

3600 Prytania St
Ste 35
New Orleans, LA 70115
Phone (504) 897-7197

3700 Saint Charles Ave
Fl 4
New Orleans, LA 70115
Phone (504) 897-7007

3715 Prytania St
Ste 400
New Orleans, LA 70115
Phone (504) 897-8276

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1033794052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BEAUREGARD DR",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700534853",
            "telephone_number": "504-388-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 PRYTANIA ST STE 35",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153678",
            "telephone_number": "504-897-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTILLO",
        "first_name": "ERICA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "218932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.