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

Mrs. Nadine Rusli, FNP-C

Individual provider Family Nurse Practitioner · NPI 1295686798

Mrs. Nadine Rusli, FNP-C is a Nurse Practitioner in St Petersburg, Florida. Graduated from Georgetown University School of Medicine in 2025, 1 year ago. Practices with West Coast Primary Care LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Trained at
Georgetown University School of Medicine
Licensed in
FL
In the registry since
2026
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

12450 Roosevelt Blvd N Ste 101
St Petersburg, FL 33716-1902
Phone: (727) 571-1688
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11045407 (FL)

Record details

NPI number1295686798
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 9, 2026
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice West Coast Primary Care Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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