RUSTIN G SORENSEN PA-C NPI 1164433827

NPI Information

  • NPI: 1164433827
  • Provider Name: RUSTIN G SORENSEN, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1950 BLUEWATER BLVD
    SUITE 100
    NICEVILLE, FL
    ZIP 32578
  • Phone: (850) 897-8081

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NPI Details

Rustin G Sorensen, PA-C is a surgical physician assistant in Niceville, FL with 26 years of experience. Rustin G Sorensen, PA-C NPI is 1164433827. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:2000

The provider's business location address is:

1950 BLUEWATER BLVD
SUITE 100
NICEVILLE, FL
ZIP 32578
Phone: (850) 897-8081
Fax: (850) 897-3846

The NPI 1164433827 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg (HCPCS:J7318)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Hyaluronan or derivative, gel-one, for intra-articular injection, per dose (HCPCS:J7326)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Injection into tendon or ligament (HCPCS:20550)
  • Aspiration and/or injection of fluid from small joint (HCPCS:20600)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • X-ray of wrist, 2 views (HCPCS:73100)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of finger, minimum of 2 views (HCPCS:73140)
  • Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
  • Prosthetic repair of shoulder joint, total shoulder (HCPCS:23472)
  • Injection into tendon at attachment to bone or muscle (HCPCS:20551)
  • Knee replacement (HCPCS:NAN06)
  • Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)

The enumeration date for this NPI number is 8/10/2006 and was last updated on 1/27/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalPA9101453FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1970023871OTHERFLORIDARRMC
2E6611ZMEDICARE PINFLORIDA
3P45882MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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