GRANT JOSEPH GUSTAFSON
NPI 1063032928
Physical Medicine & Rehabilitation in Minneapolis, MN

Active since April 21, 2020PECOS EnrolledAccepts Medicare Assignment
701 PARK AVE, MINNEAPOLIS, MN 55415(612) 873-3000 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2024, Apr 21, 2020 (2 updates tracked since 2020).

About Grant Joseph Gustafson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRANT JOSEPH GUSTAFSON (NPI 1063032928) is an individual physical medicine & rehabilitation provider in Minneapolis, Minnesota, licensed in Minnesota (76838) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2020).

NPPES Registry Identity

NPI1063032928
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameGRANT JOSEPH GUSTAFSON
Location Address701 PARK AVEMinneapolis, MN 55415-1623
Mailing Address701 Park AveMinneapolis, MN 55415-1623 · (612) 873-3000
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2020
Enumeration DateApril 21, 2020
Last NPPES UpdateJuly 8, 20242 updates tracked since enumeration
NPPES CertifiedApril 15, 2024
✔ NPI 1063032928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License✔ Licensed in MN · 76838
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
701 PARK AVE, Minneapolis, MN 55415

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

Grant Joseph Gustafson 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.

PECOS PAC ID4284050766
PECOS Enrollment IDI20240524001990
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Grant Gustafson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diagnostic Radiology
5775 WAYZATA BLVD STE 190
St Louis Park, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • 48 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.

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.

Psychiatry & Neurology (Psychiatry)
701 PARK AVE
MINNEAPOLIS, MN 55415
Emergency Medicine
701 PARK AVE
MINNEAPOLIS, MN 55415
Dentist (Oral and Maxillofacial Surgery)
701 PARK AVE
MINNEAPOLIS, MN 55415
Counselor (Professional)
701 PARK AVE
MINNEAPOLIS, MN 55415
Student in an Organized Health Care Education/Training Program
701 PARK AVE
MINNEAPOLIS, MN 55415
Emergency Medicine
701 PARK AVE
MINNEAPOLIS, MN 55415
Student in an Organized Health Care Education/Training Program
701 PARK AVE
MINNEAPOLIS, MN 55415
Student in an Organized Health Care Education/Training Program
701 PARK AVE
MINNEAPOLIS, MN 55415

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 Grant Gustafson's NPI number?

The NPI number for Grant Gustafson is 1063032928. It was assigned to this individual provider in the NPPES registry on April 21, 2020.

Where is Grant Gustafson located?

Grant Gustafson practices at 701 Park Ave, Minneapolis, MN 55415. The listed phone number is (612) 873-3000.

What is Grant Gustafson's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Grant Gustafson enrolled in Medicare?

Yes. Grant 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 organization bills Medicare for Grant Gustafson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grant Gustafson reassigns Medicare benefits to Medical Scanning Consultants PA (St Louis Park, MN). The 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 Grant 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 Grant Gustafson was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.