Adam Thomas Pustka, ACAGNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1098766 Issued in TX

Practice address

506 E San Antonio St
Victoria, TX 77901-6060

Phone

(361) 788-6500

NPI assigned

Nov 28, 2022

Last updated

Nov 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Victoria Hospitalist Associates, LLCGroup PAC ID 6204927122, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• De Tar Hospital Navarro Hospital, Victoria, TX, CCN 450147
• Cuero Regional Hospital Hospital, Cuero, TX, CCN 450597
• Memorial Medical Center Hospital, Port Lavaca, TX, CCN 451356
• Lavaca Medical Center Hospital, Hallettsville, TX, CCN 451376
• Citizens Medical Center Hospital, Victoria, TX, CCN 450023

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Victoria Hospitalist Associates, LLC

  • Hospitalist Physician
  • Tulsa, OK
  • NPI 1023236825

  TX

  Medicare reassignment Care Compare group NPD

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

• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  Care Compare affiliation
• Dewitt Medical District

  dba Cuero Regional Hospital

  • Rural Acute Care Hospital
  • Cuero, TX
  • NPI 1437148020
  Care Compare affiliation
• Lavaca Hospital District

  dba Lavaca Medical Center

  • Critical Access Hospital
  • Hallettsville, TX
  • NPI 1992767511
  Care Compare affiliation
• Memorial Medical Center

  • Critical Access Hospital
  • Port Lavaca, TX
  • NPI 1689630865
  Care Compare affiliation
• Victoria of Texas LP

  dba Detar Healthcare System

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1851343909
  Care Compare affiliation

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1639889041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 HONEYCOMB",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042176",
            "telephone_number": "361-652-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 E SAN ANTONIO ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016060",
            "telephone_number": "361-788-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSTKA",
        "first_name": "ADAM",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "ACAGNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1098766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://victoriahms.chs.net/hmscl/LoginServlet?tran=SELECTED-JOBD&jobdindex=0&sid=9BBC204F9598D7A04ADABD53136319AD",
            "affiliation": "N",
            "endpointDescription": "Medhost System through Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "506 E San Antonio St",
            "city": "Victoria",
            "state": "TX",
            "country_code": "US",
            "postal_code": "779016060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Proctor, OTR
• Pronto Medical Care PLLC
• Sherrill Pruett
• Psychological Concepts
• Pure Nur Medspa PLLC
• April Huaxing Qu
• Qualthera Health Corporation (Central Drug)
• Richard Charles Quigley, D.O.
• Lisa Quintanilla, LPC ASSOCIATE, LCDC
• Julio Cesar Quiroz Olvera, MD

• Acute Care Nurse Practitioner in Victoria, TX
• Providers in Victoria, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.