MICHELE MARTINEZ GUSTAFSON CNP
NPI 1154843910
Nurse Practitioner in Albuquerque, NM

Active since July 13, 2017PECOS EnrolledAccepts Medicare Assignment
93.54/100
CMS Quality Rating
4901 LANG AVE NE STE 100, ALBUQUERQUE, NM 87109(505) 883-2574(505) 883-0725 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 13, 2025, Jul 13, 2023, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Michele Martinez Gustafson Cnp NPPES

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

MICHELE MARTINEZ GUSTAFSON CNP (NPI 1154843910) is an individual nurse practitioner in Albuquerque, New Mexico, licensed in New Mexico (CNP-03282) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1154843910
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMICHELE MARTINEZ GUSTAFSONCredential: CNP
Location Address4901 LANG AVE NE STE 100Albuquerque, NM 87109-4597
Mailing Address4901 Lang Ave Ne Ste 100Albuquerque, NM 87109-4597 · (505) 883-2574 · Fax (505) 883-0725
Fax(505) 883-0725
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 13, 2017
Last NPPES UpdateMarch 13, 20254 updates tracked since enumeration
NPPES CertifiedMarch 13, 2025
✔ NPI 1154843910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NM · CNP-03282
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4901 LANG AVE NE STE 100, Albuquerque, NM 87109

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

Michele Martinez 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.

PECOS PAC ID6800168857
PECOS Enrollment IDI20170825000781
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 Reassignments

2

Medicare enrollment records show Michele Gustafson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group
General Acute Care Hospital
2211 LOMAS BLVD., N.E.
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 505 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
67 services62 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services50 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.21
Promoting Interoperability100
Improvement Activities40
Cost63.83

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Nurse Specialist
4901 LANG AVE NE STE 100
ALBUQUERQUE, NM 87109
Otolaryngology
4901 LANG AVE NE STE 100
ALBUQUERQUE, NM 87109
Otolaryngology
4901 LANG AVE NE STE 100
ALBUQUERQUE, NM 87109
Physician Assistant
4901 LANG AVE NE STE 100
ALBUQUERQUE, NM 87109
Occupational Therapist
4901 LANG AVE NE STE 100
ALBUQUERQUE, NM 87109
Allergy & Immunology
4901 LANG AVE NE STE 100
ALBUQUERQUE, NM 87109
Physician Assistant (Medical)
4901 LANG AVE NE STE 100
ALBUQUERQUE, NM 87109
Nurse Practitioner
4901 LANG AVE NE STE 100
ALBUQUERQUE, NM 87109

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 Michele Gustafson's NPI number?

The NPI number for Michele Gustafson is 1154843910. It was assigned to this individual provider in the NPPES registry on July 13, 2017.

Where is Michele Gustafson located?

Michele Gustafson practices at 4901 Lang Ave NE Ste 100, Albuquerque, NM 87109. The listed phone number is (505) 883-2574.

What is Michele Gustafson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Michele Gustafson enrolled in Medicare?

Yes. Michele 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 Michele Gustafson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michele Gustafson reassigns Medicare benefits to 2 organizations: Unm Medical Group Inc (Albuquerque, NM) and Unm Hospital (Albuquerque, NM). 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 Michele Gustafson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michele Gustafson affiliated with any hospitals?

According to CMS data, Michele Gustafson is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Michele Gustafson was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.