Maria Bustamante, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9115355 Issued in FL

Practice address

3532 Fruitville Rd
Sarasota, FL 34237-9026

Phone

(941) 893-2688

NPI assigned

Dec 20, 2021

Last updated

Aug 27, 2025By 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

Medicare fee-for-service enrollment

Enrolled in FL

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

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Re3 Stem Cell and Healing Institute PLLCGroup PAC ID 2163795832, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61456

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.

• Re3 Stem Cell and Healing Institute PLLC

  dba Center for Brain and Spine

  • Neurological Surgery Physician
  • Sarasota, FL
  • NPI 1407397540
  Medicare reassignment Care Compare group NPD
• Vitalmd Group Holding LLC

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1871572032
  Medicare reassignment Care Compare group
• Associated Family Physicians of Boca Raton, P.L.

  dba Associated Family Physicians of Florida

  • General Practice Physician
  • Bradenton, FL
  • NPI 1265235352
  NPD (past)

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1609536507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3532 FRUITVILLE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342379026",
            "telephone_number": "941-893-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3532 FRUITVILLE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342379026",
            "telephone_number": "941-893-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTAMANTE",
        "first_name": "MARIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9115355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Marie Bush, P.T.
• Salena Marie Bush, OTR/L
• Angela C Bushell
• Brianna Bushman, DO
• Cheryl L Buss, LCSW
• Monica Butcher, MD
• Anna C Butler
• Betty Eileen Butler, CRNA
• Patricia Ann Butler, ARNP
• Richard Lee Butler, D.C.

• Physician Assistant in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.