KIM D GUSTAFSON NP
NPI 1164896056
Nurse Practitioner - Women's Health in Houston, TX

Q: What is Kim Gustafson's NPI number?

The NPI number for Kim Gustafson is 1164896056. It was assigned to this individual provider in the NPPES registry on November 16, 2015.

Q: What is Kim Gustafson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Kim Gustafson was last updated on November 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since November 16, 2015PECOS Enrolled

18300 KATY FWY, SUITE 315, HOUSTON, TX 77094(713) 464-2100(281) 392-7911 Get Directions Write a Review

NPPES record last updated: November 16, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Kim D Gustafson Np NPPES

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

KIM D GUSTAFSON NP (NPI 1164896056) is an individual women's health provider in Houston, Texas, licensed in Texas (620019) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Memorial City Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1164896056

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameKIM D GUSTAFSONCredential: NP

Location Address18300 KATY FWY, SUITE 315Houston, TX 77094-1385

Mailing Address18300 Katy Fwy, Suite 315Houston, TX 77094-1385 · (713) 464-2100 · Fax (281) 392-7911

Phone(713) 464-2100

Fax(281) 392-7911

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateNovember 16, 2015

✔ NPI 1164896056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in TX · 620019

18300 KATY FWY, Houston, TX 77094

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim D Gustafson Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688086036

PECOS Enrollment IDI20201209001664

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 Kim Gustafson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advanced Women's Wellness, PLLC

2.8 mi

Obstetrics & Gynecology

21402 PROVINCIAL BLVD
Katy, TX 77450

Reassigned Medicare billing, Texas enrollment
3 clinicians in this Medicare group

NPI 1609018506 (281) 398-0777

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 5

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

68 services68 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

67 services67 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

54 services54 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.

22 services15 patients

Stool analysis for blood, by fecal hemoglobin determination by immunoassay 82274

A stool analysis for blood, or fecal hemoglobin determination by immunoassay, is a test that checks for hidden blood in your stool. This test helps identify potential issues in your digestive system. It involves collecting a small stool sample which is then analyzed in a lab for the presence of blood.

16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Hermann Memorial City Hospital

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450610

Location921 GessnerHouston, TX 77024 · Harris County

Emergency services Birthing friendly

Memorial Hermann Katy Hospital

Acute Care Hospitals · Katy, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450847

Location23900 Katy FreewayKaty, TX 77494 · Fort Bend County

Emergency services Birthing friendly

Houston Methodist West Hospital

Acute Care Hospitals · Houston, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670077

Location18500 Katy FreewayHouston, TX 77094 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77094 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

Other Providers at the Same Location NPPES 13

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

MS. QUYNH-THU NGUYEN DOAN MD

Obstetrics & Gynecology

18300 KATY FWY, STE 205
HOUSTON, TX 77094

Harris County (281) 717-4366

ALLYSON THOMAS PATRONELLA M.D.

Obstetrics & Gynecology

18300 KATY FWY, SUITE 315
HOUSTON, TX 77094

Harris County (713) 464-2100

NICOLAS M. NAMMOUR, M.D. P.A.

Psychiatry & Neurology (Neurology)

18300 KATY FWY, SUITE 405
HOUSTON, TX 77094

Harris County (281) 579-6800

KRISTIN N SCHMIDT MD PLLC

Obstetrics & Gynecology

18300 KATY FWY, SUITE 315
HOUSTON, TX 77094

Harris County (713) 464-2100

KRISTIN NOELLE SCHMIDT M.D.

Obstetrics & Gynecology

18300 KATY FWY, SUITE 315
HOUSTON, TX 77094

Harris County (713) 464-2100

JENNIFER E CU PA-C

Physician Assistant (Medical)

18300 KATY FWY, SUITE 615
HOUSTON, TX 77094

Harris County (713) 461-2915

DR. TARA M MORRISON M.D.

Otolaryngology

18300 KATY FWY, SUITE 305
HOUSTON, TX 77094

Harris County (281) 578-1910

TRACY F JAKOB MD

Otolaryngology

18300 KATY FWY, SUITE 305
HOUSTON, TX 77094

Harris County (281) 578-1910

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 Kim Gustafson's NPI number?

The NPI number for Kim Gustafson is 1164896056. It was assigned to this individual provider in the NPPES registry on November 16, 2015.

Where is Kim Gustafson located?

Kim Gustafson practices at 18300 Katy Fwy Suite 315, Houston, TX 77094. The listed phone number is (713) 464-2100.

What is Kim Gustafson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Kim Gustafson enrolled in Medicare?

Yes. Kim Gustafson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kim Gustafson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Gustafson reassigns Medicare benefits to Advanced Women's Wellness, PLLC (Katy, TX). 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 Kim Gustafson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kim Gustafson affiliated with any hospitals?

According to CMS data, Kim Gustafson is affiliated with Memorial Hermann Memorial City Hospital, Memorial Hermann Katy Hospital and Houston Methodist West Hospital.

When was this NPI record last updated?

The NPPES record for Kim Gustafson was last updated on November 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.