JULIA A GUSTAFSON NP
NPI 1174509103
Nurse Practitioner in Sonora, CA

Active since December 21, 2005PECOS Enrolled
12811 COVEY CIR, SONORA, CA 95370(209) 588-8840(209) 588-0911 Get Directions Write a Review

NPPES record last updated: November 18, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Julia A Gustafson Np NPPES

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

JULIA A GUSTAFSON NP (NPI 1174509103) is an individual nurse practitioner in Sonora, California, licensed in California (NP5485) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174509103
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJULIA A GUSTAFSONCredential: NP
Location Address12811 COVEY CIRSonora, CA 95370-5935
Mailing Address13989 Stanton CirSonora, CA 95370-8641 · (209) 588-5584 · Fax (209) 588-0911
Fax(209) 588-0911
Sole ProprietorNo
Enumeration DateDecember 21, 2005
Last NPPES UpdateNovember 18, 2016
NPI 1174509103 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 CA · NP5485
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.

12811 COVEY CIR, Sonora, CA 95370

Other Identifiers 1

Medicare ID-Type UnspecifiedA23914CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95370 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier16 claims16 services$20.01 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$8.52 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$51.30 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier27 claims27 services$109.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Surgery
12811 COVEY CIR
SONORA, CA 95370
Family Medicine
12811 COVEY CIR
SONORA, CA 95370
Obstetrics & Gynecology
12811 COVEY CIR
SONORA, CA 95370
Family Medicine
12811 COVEY CIR
SONORA, CA 95370

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 Julia Gustafson's NPI number?

The NPI number for Julia Gustafson is 1174509103. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Julia Gustafson located?

Julia Gustafson practices at 12811 Covey Cir, Sonora, CA 95370. The listed phone number is (209) 588-8840.

What is Julia Gustafson's specialty?

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

Is Julia Gustafson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Julia Gustafson was last updated on November 18, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.