Individual provider Active NPI

Nadine Rusli, FNP-C

  • Family Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1295686798
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11045407 Issued in FL
Practice address
12450 Roosevelt Blvd N Ste 101
St Petersburg, FL 33716-1902
Phone
(727) 571-1688
NPI assigned
Feb 9, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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 APRN11045407 FL Primary

Addresses

Primary practice location

12450 Roosevelt Blvd N Ste 101
St Petersburg, FL 33716-1902

Mailing address

7200 Bryce PT N
Pinellas Park, FL 33782-4338
Phone (727) 571-1688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Coast Primary Care LLCGroup PAC ID 6709041585, 4 clinicians

Practice addresses (Care Compare)

603 7TH St S
Suite 520
Saint Petersburg, FL 33701-4734
Phone (727) 322-4226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11045407FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Primary Care, LLC CurrentSince May 16, 2026 Accepting new patients
SC Physicians LLC PastSince May 16, 2026 Accepting new patients

Locations

12450 Roosevelt Blvd N
Ste 101
St Petersburg, FL 33716
Phone (727) 571-1688

601 7th St S
St Petersburg, FL 33701
Phone (727) 572-0900

603 7th St S
Ste 520
St Petersburg, FL 33701
Phone (727) 893-6500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIGJBA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1770595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1295686798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 BRYCE PT N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337824338",
            "telephone_number": "727-571-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12450 ROOSEVELT BLVD N STE 101",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161902",
            "telephone_number": "727-571-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSLI",
        "first_name": "NADINE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-09",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11045407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.