Marivic Rustia
NPI 1376012104ActiveIndividual· Nurse Practitioner, Acute Care· Portland, OR
Nurse Practitioner, Acute Care with Legacy Clinics LLC, practicing in Portland, Oregon. Their prescriptions cost Medicare Part D more than their services did: $39,840 for 210 claims, against $23,378 paid for services in 2024. Zoll Respicardia, Inc. reported $177.99 in payments in 2024, mostly food and beverage. Lists Legacy Good Samaritan Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1376012104 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Nov 21, 2018 |
| Last updated in NPPES | Oct 12, 2021 |
| Certified by provider | Oct 12, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | AP139794 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 234 |
|---|---|
| Services billed | 410 across 10 procedure codes |
| Paid by Medicare | $23,378 |
Part D prescriptions in 2024
| Prescriptions (claims) | 210 · 353 30-day fills |
|---|---|
| Patients | 99 |
| Total drug cost | $39,840 |
| Generic share | 64% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Legacy Clinics LLCPortland, OR · 713 clinicians
Hospital affiliations
- Legacy Good Samaritan Medical CenterPortland, OR
- Legacy Meridian Park Medical CenterTualatin, OR
- Legacy Mount Hood Medical CenterGresham, OR
Industry payments (Open Payments)
- 2024$177.99 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Zoll Respicardia, Inc. | $177.99 | 1 |
What the 2024 payments were for
- Food and Beverage$177.99 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 137 acute care nurse practitioners in Portland · All acute care nurse practitioners in Oregon