Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kasey Bustamante

Individual provider Family Nurse Practitioner · NPI 1750089132

Kasey Bustamante is a Nurse Practitioner in Dillon, South Carolina. Qualified in 2023, 3 years ago. Practices with McLeod Physician Associates II, a 542-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
3
Licensed in
SC
In the registry since
2023
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Practice location Address checks out

705 N 8th Ave Ste 2B
Dillon, SC 29536-2549
Phone: (843) 841-3846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 523 Camp Rd, Latta, SC 29565-4273 — (843) 627-2897

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 28517 (SC)

Record details

NPI number1750089132
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 16, 2023
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026
Mailing address705 N 8th Ave Ste 2b, Dillon, SC 29536-2549

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice McLeod Physician Associates Ii — 542 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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