Samuel Correa Bustillos, ACNP-AG in Las Cruces, NM

Samuel Correa Bustillos, ACNP-AG is a medicare enrolled "Nurse Practitioner - Acute Care" in Las Cruces, New Mexico. He graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Las Cruces Physician Services Llc and his current practice location is 2450 S Telshor Blvd, Las Cruces, New Mexico. You can reach out to his office (for appointments etc.) via phone at (575) 636-7407.

Samuel Correa Bustillos is licensed to practice in New Mexico (license number CNP-03431) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1699289173.

Contact Information

	Samuel Correa Bustillos, ACNP-AG
	2450 S Telshor Blvd, Las Cruces, NM 88011-5141
	(575) 636-7407
	Not Available

Map and Direction

Provider's Profile

Full Name	Samuel Correa Bustillos
Gender	Male
Speciality	Nurse Practitioner
Experience	8 Years
Location	2450 S Telshor Blvd, Las Cruces, New Mexico
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Samuel Correa Bustillos graduated from nursing school in 2017

NPI Data:

NPI Number: 1699289173
Provider Enumeration Date: 11/20/2017
Last Update Date: 08/21/2023

Medicare PECOS Information:

PECOS PAC ID: 4880953579
Enrollment ID: I20180126000683

Medical Identifiers

Medical identifiers for Samuel Correa Bustillos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699289173	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	CNP-03431 (New Mexico)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mountain View Regional Medical Center	Las cruces, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Las Cruces Physician Services Llc	8224122759	73

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Samuel Correa Bustillos allows following entities to bill medicare on his behalf.

Entity Name	Las Cruces Physician Practices, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093947491 PECOS PAC ID: 7618974858 Enrollment ID: O20061031000215

Entity Name	Las Cruces Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215079678 PECOS PAC ID: 8224122759 Enrollment ID: O20070914000414

Entity Name	App Of New Mexico Ed Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891169942 PECOS PAC ID: 7416259445 Enrollment ID: O20160108000220

Entity Name	Southwest Emergency Medical Associates Of Nm Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720505571 PECOS PAC ID: 8426324294 Enrollment ID: O20171023001270

Entity Name	Las Cruces Hb Medical Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598446171 PECOS PAC ID: 8123473600 Enrollment ID: O20231018003832

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samuel Correa Bustillos is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Samuel Correa Bustillos, ACNP-AG 1455 S Valley Dr Ste A, Las Cruces, NM 88005-3165 Ph: (575) 526-7777	Samuel Correa Bustillos, ACNP-AG 2450 S Telshor Blvd, Las Cruces, NM 88011-5141 Ph: (575) 636-7407

Reviews and Comments

Nurse Practitioner Nurses in Las Cruces, NM

Shelby Danae Whitlock-virden, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5020 Meadow Cir, Las Cruces, NM 88007 Phone: 575-649-7113
Dr. Rhaemi E Gaufin, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3961 E Lohman Ave Ste 33, Las Cruces, NM 88011 Phone: 575-556-0200
Mrs. Heather A Lugo, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4391 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-522-2633 Fax: 575-522-2311
Mrs. Sandra Avigail Angulo, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3751 Del Rey Blvd, Las Cruces, NM 88012 Phone: 575-382-3500
Sylina Peterson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3964 Pacific Loop, Las Cruces, NM 88012 Phone: 575-635-1403
Leandra Gabrielle Ogas, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1455 S Valley Dr Ste B, Las Cruces, NM 88005 Phone: 575-526-6992
Lauren Marie Mattiace, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 999 W Amador Ave, Las Cruces, NM 88005 Phone: 575-527-5482

Samuel Correa Bustillos, ACNP-AG - Medicare Nurse Practitioner in Las Cruces, NM