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

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

Practice location Address checks out

705 N 8th Ave Ste 2B
Dillon, SC 29536-2549
Phone: (843) 841-3846
Show map & directions

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

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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