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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: October 25, 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
Phone(209) 588-8840
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
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Other Identifiers 1

Medicare ID-Type UnspecifiedA23914CA

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

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

Tuolumne Me-Wuk Indian Health Center, Inc.
0.3 mi
Family Medicine
19969 GREENLEY RD, SUITE B,C, & D
Sonora, CA 95370
  • Reassigned Medicare billing, California enrollment
  • 46 clinicians in this Medicare group
NPI 1124286885 (209) 532-0028
Sonora Community Hospital
0.6 mi
Family Medicine
19747 GREENLEY RD, SUITE S-2
Sonora, CA 95370
  • Reassigned Medicare billing, California enrollment
  • 127 clinicians in this Medicare group
NPI 1033100854 (209) 536-2665

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. LAWRENCE EUGENE BRUNEL M.D. F.A.C.O.G.
Obstetrics & Gynecology
12811 COVEY CIR
SONORA, CA 95370
Tuolumne County (209) 536-5196
SONORA COMMUNITY HOSPITAL
Family Medicine
12811 COVEY CIR
SONORA, CA 95370
Tuolumne County (209) 588-8840
SIERRA WOUND CARE GROUP MEDICAL CORPORATION
Surgery
12811 COVEY CIR
SONORA, CA 95370
Tuolumne County (209) 536-1785
DR. QUOC MINH TRAN DO
Family Medicine
12811 COVEY CIR
SONORA, CA 95370
Tuolumne County (095) 365-1962

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.

Which organizations bill Medicare for Julia Gustafson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julia Gustafson reassigns Medicare benefits to 2 organizations: Tuolumne Me-Wuk Indian Health Center, Inc. (Sonora, CA) and Sonora Community Hospital (Sonora, CA). 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 Julia 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 Julia Gustafson was last updated on November 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.