JENNIFER LYNN GUSTAFSON CNP
NPI 1013479609
Nurse Practitioner in Worcester, MA
About Jennifer Lynn Gustafson Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER LYNN GUSTAFSON CNP (NPI 1013479609) is an individual nurse practitioner in Worcester, Massachusetts, licensed in Massachusetts (RN2287928) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jennifer Lynn Gustafson Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Jennifer Gustafson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Falmouth, MA 02540
- Reassigned Medicare billing, Massachusetts enrollment
- 238 clinicians in this Medicare group
Hyannis, MA 02601
- Reassigned Medicare billing, Massachusetts enrollment
- 423 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WORCESTER, MA 01655
WORCESTER, MA 01655
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jennifer Gustafson's NPI number?
The NPI number for Jennifer Gustafson is 1013479609. It was assigned to this individual provider in the NPPES registry on April 2, 2019. The provider is also known as Jennifer Lynn Thiesing.
Where is Jennifer Gustafson located?
Jennifer Gustafson practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (774) 443-7552.
What is Jennifer Gustafson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jennifer Gustafson enrolled in Medicare?
Yes. Jennifer Gustafson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jennifer Gustafson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Gustafson reassigns Medicare benefits to 2 organizations: Physicians Of Falmouth Hospital (Falmouth, MA) and Medical Affiliates Of Cape Cod, Inc. (Hyannis, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Gustafson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jennifer Gustafson was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jennifer Lynn Gustafson, CNP · NPI 1013479609
Nurse Practitioner physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since April 2, 2019.
## Identity
- **NPI:** 1013479609 (Entity type: Individual)
- **Enumerated:** April 2, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN2287928 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 LAKE AVE N, Worcester, MA 01655-0002
- **Phone:** (774) 443-7552
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Physicians Of Falmouth Hospital (NPI 1821363698, Falmouth, MA); Medical Affiliates Of Cape Cod, Inc. (NPI 1770534927, Hyannis, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 26, 2020
- **Other identifiers:** Medicaid 110152274A (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1013479609) · Data from the CMS NPPES public registry.