Ann Marie Rustia, CRNP-F

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R177146 Issued in MD

Practice address

9106 Philadelphia Rd Ste 200
Baltimore, MD 21237-4333

Phone

(410) 780-1980

Fax

(410) 780-1984

NPI assigned

Sep 29, 2009

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: annmarie.rustia@4362.securemail.prognocis.com

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.

• 1St Medical of Annapolis, Inc.

  • Family Medicine Physician
  • Edgewater, MD
  • NPI 1922282425
  Medicare reassignment
• Dennis Odie, M.D.

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1578593273
  Medicare reassignment
• Agape Physical Therapy & Sports Rehabilitation LP

  • Physical Therapist
  • Forest Hill, MD
  • NPI 1578900668
  Care Compare group
• 1St Medical Pain Management Specialists

  • Clinic/Center
  • Edgewater, MD
  • NPI 1902348659
  NPD
• Complete Health Service Inc.

  • Home Health Agency
  • Silver Spring, MD
  • NPI 1962963348
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1992039622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9106 PHILADELPHIA RD STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374333",
            "telephone_number": "410-780-1980",
            "fax_number": "410-780-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9106 PHILADELPHIA RD STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374333",
            "telephone_number": "410-780-1980",
            "fax_number": "410-780-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSTIA",
        "first_name": "ANN MARIE",
        "credential": "CRNP-F",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R177146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "DENNISODIE@AOL.COM",
            "affiliation": "N",
            "endpointDescription": "DIRECT MESSAGING",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9106 Philadelphia Rd Ste 200",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212374333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katharine M Russo, PHARMD
• Kirsten Denise Russo, PHD
• Marguerite M Russo, CRNP
• Sarah Elizabeth Russo, CRNP
• Thomas P Russo, PH.D.
• Evelyn Lipana Rustia, MD
• Portia Ruth
• Todd Ruth, M.D.
• Christina Gimbel Rutheiser, CNHP
• Lauren Ruther, LCSW-C

• Family Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.