1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Psychiatry Neurology
  6. NPI Profile

ANN MARIE GUSTAFSON MD
NPI 1215497045
Psychiatry & Neurology - Psychiatry in New York, NY

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment
1349 LEXINGTON AVE APT 1EC, NEW YORK, NY 10128(917) 733-4740 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 9, 2025, Nov 15, 2024, Jan 2, 2024 and 2 more (5 updates tracked since 2019).

About Ann Marie Gustafson Md NPPES

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

ANN MARIE GUSTAFSON MD (NPI 1215497045) is an individual psychiatry provider in New York, New York, licensed in New York (316111) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of University Of Maryland School Of Medicine (2019).

NPPES Registry Identity

NPI1215497045
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameANN MARIE GUSTAFSONCredential: MD
Location Address1349 LEXINGTON AVE APT 1ECNew York, NY 10128-1514
Mailing Address1349 Lexington Ave Apt 1ecNew York, NY 10128-1514 · (917) 733-4740
Phone(917) 733-4740
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2019
Enumeration DateMarch 20, 2019
Last NPPES UpdateJanuary 9, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
✔ NPI 1215497045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 316111
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1349 LEXINGTON AVE APT 1EC, New York, NY 10128
Open in Google Maps ↗

Secondary Practice Location 1

Location 1535 W 110th St Apt 1ENew York, NY 10025-2021 · Phone (212) 280-4740

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Ann Marie Gustafson Md 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 ID8527390541
PECOS Enrollment IDI20240509003316
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 10128 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Ann Gustafson's NPI number?

The NPI number for Ann Gustafson is 1215497045. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Ann Gustafson located?

Ann Gustafson practices at 1349 Lexington Ave Apt 1ec, New York, NY 10128. The listed phone number is (917) 733-4740.

What is Ann Gustafson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Ann Gustafson enrolled in Medicare?

Yes. Ann 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.

What insurance does Ann Gustafson accept?

Health plans from Providence Health Plan list Ann Gustafson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ann Gustafson was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.