Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1649383829 Deactivated / Inactive NPI Male Practitioner

Larry P Rustemeyer , PA

Physician Assistant • Belen, NM

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Larry Rustemeyer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 15, 2006
NPI Deactivation Date September 08, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Larry Rustemeyer, PA was a registered Physician Assistant practicing in Belen, NM. Throughout an active medical career spanning 14 years, Larry Rustemeyer provided care at the practice location at 703 SOUTH CHRISTOPHER ROAD until profile deactivation on 2020-09-08.

Practice Location & Contact Primary Location

Practice Address

703 South Christopher Road

Belen, NM 87002

Telephone 5058647781
Fax 5058643360
Associated Practice Facility / Clinic
🏢 Roland Kent Sanchez, Md Facility NPI 1902921182

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Belen, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.8 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
6 Specialists

Practicing in Belen, NM (865 Statewide)

Telehealth Adoption Rate
33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NM 93-PA22

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1003117698

Doctor of Medicine (M.D.)

Nicole Williams , PA-C

Physician Assistant - Medical

NPI 1346405180

Physician Assistant (Certified)

Belina Avner , PA

Physician Assistant

NPI 1356467450

Physician Assistant

Elia Sanchez

Clinic/Center

NPI 1376133298
NPI 1427083369

Doctor of Medicine (M.D.)

Stephanie Richmond , PA-C

Physician Assistant

NPI 1609800168

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 08, 2020

Record deactivated on September 08, 2020

NPI Profile Active May 12, 2010

NPI status registered as active in NPPES database

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Updated Practice Location May 12, 2010

Registered at 703 SOUTH CHRISTOPHER ROAD, BELEN, NM 87002 (Tel: 5058647781)

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Updated Business Mailing Address May 12, 2010

Registered at 703 SOUTH CHRISTOPHER ROAD, BELEN, NM 87002 (Tel: 5058647781)

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Provider Name / Credentials Updated May 12, 2010

Recorded as LARRY RUSTEMEYER, P.A.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2010

Physician Assistant (License #93-PA22 in NM)

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Initial NPI Registration & Enumeration August 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649383829
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2006
Last Update: May 12, 2010
Deactivation Date: September 08, 2020

Mailing Address

703 South Christopher Road

Belen, NM 87002

Phone: 5058647781

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.