TRACEY LYNN GUSTITUS CRNP
NPI 1164935391
Clinical Nurse Specialist - Gerontology in West Reading, PA

Active since November 09, 2017PECOS EnrolledAccepts Medicare Assignment
81.19/100
CMS Quality Rating
420 S 5TH AVE, WEST READING, PA 19611(484) 628-5455 Get Directions Write a Review

NPPES record last updated: June 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2019, Nov 9, 2017 (2 updates tracked since 2017).

About Tracey Lynn Gustitus Crnp NPPES

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

TRACEY LYNN GUSTITUS CRNP (NPI 1164935391) is an individual gerontology provider in West Reading, Pennsylvania, licensed in Pennsylvania (SP017797) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1164935391
Entity TypeIndividualFemale
Primary Taxonomy364SG0600X
Provider Legal NameTRACEY LYNN GUSTITUSCredential: CRNP
Location Address420 S 5TH AVEWest Reading, PA 19611-2143
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-0799
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 9, 2017
Last NPPES UpdateJune 12, 20192 updates tracked since enumeration
NPI 1164935391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Nurse Specialist · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SG0600X
License Licensed in PA · SP017797
420 S 5TH AVE, West Reading, PA 19611

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tracey Lynn Gustitus Crnp 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 ID2163781600
PECOS Enrollment IDI20180109001565
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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
127 services50 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
46 services42 patients

Hospital Affiliations CMS Care Compare

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

81.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Promoting Interoperability97
Improvement Activities40
Cost65.23

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.

Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611
Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611
Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611
Pathology (Forensic Pathology)
420 S 5TH AVE
WEST READING, PA 19611
Physician Assistant
420 S 5TH AVE
WEST READING, PA 19611
Surgery
420 S 5TH AVE
WEST READING, PA 19611
Nurse Practitioner (Family)
420 S 5TH AVE
READING, PA 19611
Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611

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 Tracey Gustitus's NPI number?

The NPI number for Tracey Gustitus is 1164935391. It was assigned to this individual provider in the NPPES registry on November 9, 2017.

Where is Tracey Gustitus located?

Tracey Gustitus practices at 420 S 5th Ave, West Reading, PA 19611. The listed phone number is (484) 628-5455.

What is Tracey Gustitus's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Gerontology, with taxonomy code 364SG0600X.

Is Tracey Gustitus enrolled in Medicare?

Yes. Tracey Gustitus 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.

Is Tracey Gustitus affiliated with any hospitals?

According to CMS data, Tracey Gustitus is affiliated with Reading Hospital.

When was this NPI record last updated?

The NPPES record for Tracey Gustitus was last updated on June 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.