Individual provider Active NPI

Rusty Rivera Duran, APRN-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Yorktown, VA
National Provider Identifier
1528570538
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024175558 Issued in VA
Practice address
205 Hampton Hwy
Yorktown, VA 23693-3512
Phone
(757) 865-1843
Fax
(757) 865-7485
NPI assigned
Oct 31, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024175558 VA Primary

Addresses

Primary practice location

205 Hampton Hwy
Yorktown, VA 23693-3512

Mailing address

205 Hampton Hwy
Yorktown, VA 23693-3512
Phone (757) 865-1843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20180214000791 VA Practitioner - Nurse Practitioner 0042570988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

205 Hampton Hwy
Yorktown, VA 23643-3512

2737 Charmaine Dr
Hayes, VA 23072-4426

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rusty Rivera Duran NP-C LLC Psychiatric/Mental Health Current Accepting new patients

Locations

205 Hampton Hwy
Yorktown, VA 23693
Phone (757) 865-1843

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": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1528570538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HAMPTON HWY",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236933512",
            "telephone_number": "757-865-1843",
            "fax_number": "757-865-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HAMPTON HWY",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236933512",
            "telephone_number": "757-865-1843",
            "fax_number": "757-865-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAN",
        "first_name": "RUSTY",
        "middle_name": "RIVERA",
        "name_prefix": "Mrs.",
        "credential": "APRN-C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024175558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

Verify at the official NPI Registry.