Melissa Diane Rusterucci, AGNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

RN215911 Issued in GA

Practice address

100 Genevieve CT
Peachtree City, GA 30269-4868

Phone

(770) 486-1818

NPI assigned

Oct 12, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Privia Medical Group of Georgia LLCGroup PAC ID 4284951542, 454 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
• Direct secure messaging: melissa.rusterucci.1@8042.direct.athenahealth.com

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.

• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Fayetteville, GA
  • NPI 1013313857
  Medicare reassignment Care Compare group NPD
• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1356907273
  NPD
• Family Medicine Specialist, PC

  • Family Medicine Physician
  • Fayetteville, GA
  • NPI 1043402142
  NPD (past)

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467963892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GENEVIEVE CT",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694868",
            "telephone_number": "770-486-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GENEVIEVE CT",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694868",
            "telephone_number": "770-486-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSTERUCCI",
        "first_name": "MELISSA",
        "middle_name": "DIANE",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN215911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "RN215911",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott R Roman, DPM
• Trisha Kennedy Roman, MSN, FNP-BC, NP-C
• Tiffany Cox Romanello, PA-C
• Clarisa Rooks, ARNP
• April Davis Roshak, FNP
• Sacred Soul Wellness & Counseling
• Adrian Chearell Sago, LPC
• Leslie Ann Salinski, OT
• Sandra Nicole Salter, NP
• Victoria Sam, PT, DPT

• Gerontology Nurse Practitioner in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Gerontology Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.