MS. TATYANA GUSTAFSON RN, CNS, FPMHNP
NPI 1225365943
Nurse Practitioner - Psychiatric/Mental Health in Austin, TX

Q: What is Tatyana Gustafson's NPI number?

The NPI number for Tatyana Gustafson is 1225365943. It was assigned to this individual provider in the NPPES registry on November 17, 2009.

Q: What is Tatyana Gustafson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Tatyana Gustafson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 17, 2009PECOS EnrolledAccepts Medicare Assignment

5424 W HIGHWAY 290 STE 108, AUSTIN, TX 78735(512) 430-1130(512) 677-6806 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 21, 2022, Aug 2, 2017 (2 updates tracked since 2017).

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About Ms. Tatyana Gustafson Rn, Cns, Fpmhnp NPPES

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

MS. TATYANA GUSTAFSON RN, CNS, FPMHNP (NPI 1225365943) is an individual psychiatric/mental health provider in Austin, Texas, licensed in Texas (710364) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1225365943

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. TATYANA GUSTAFSONCredential: RN, CNS, FPMHNP

Location Address5424 W HIGHWAY 290 STE 108Austin, TX 78735-8827

Mailing Address5424 W Highway 290 Ste 108Austin, TX 78735-8827 · (512) 430-1130 · Fax (512) 677-6806

Phone(512) 430-1130

Fax(512) 677-6806

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateNovember 17, 2009

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1225365943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TX · 710364

Also ListedClinical Nurse Specialist · Adult HealthTaxonomy 364SA2200X · License 710364 (TX)

5424 W HIGHWAY 290 STE 108, Austin, TX 78735

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare.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

Ms. Tatyana Gustafson Rn, Cns, Fpmhnp 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 ID3870636509

PECOS Enrollment IDI20171218000796

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 78735 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

$89.03 typical visit price

range $57.88 – $174.00

Typical copayment $22.25 (range $14.47 – $43.50)

Most-billed visit code 99203

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

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 9

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

SUSANNA-RACHEL SALOME SEAY PMHNP

Nurse Practitioner (Psychiatric/Mental Health)