VADIM P PUSTYNOVICH FNP-C NPI 1518507086

NPI Information

  • NPI: 1518507086
  • Provider Name: VADIM P PUSTYNOVICH, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 700 W IRONWOOD DR STE 120
    COEUR D ALENE, ID
    ZIP 83814
  • Phone: (208) 625-3640

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NPI Details

Vadim P Pustynovich, FNP-C is a family nurse practitioner in Coeur D Alene, ID with 6 years of experience. Vadim P Pustynovich, FNP-C NPI is 1518507086. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

700 W IRONWOOD DR STE 120
COEUR D ALENE, ID
ZIP 83814-405
Phone: (208) 625-3640
Fax: (208) 625-3645

The NPI 1518507086 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Automated urinalysis test (HCPCS:81003)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of chest, 2 views (HCPCS:71046)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Detection test by nucleic acid for multiple types influenza virus (HCPCS:87502)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique (HCPCS:87651)

The enumeration date for this NPI number is 1/13/2020 and was last updated on 4/24/2024.

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
1363LF0000XNurse PractitionerFamily26NJ01002700NEW JERSEYNo
2363LF0000XNurse PractitionerFamilyNP66228IDAHOYes

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: 3/30/2025

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