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GRACE ELISE GUSTAFSON
NPI 1225977226
Student in an Organized Health Care Education/Training Program in Klamath Falls, OR

Active since March 25, 2026PECOS Enrolled
2821 DAGGETT AVE STE 100, KLAMATH FALLS, OR 97601(503) 494-8211 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace Elise Gustafson NPPES

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

GRACE ELISE GUSTAFSON (NPI 1225977226) is an individual student in an organized health care education/training program in Klamath Falls, Oregon and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225977226
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameGRACE ELISE GUSTAFSON
Location Address2821 DAGGETT AVE STE 100Klamath Falls, OR 97601-1130
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3098 · (503) 494-8211
Phone(503) 494-8211
Sole ProprietorNo
Enumeration DateMarch 25, 2026
NPPES CertifiedMarch 25, 2026
✔ NPI 1225977226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2821 DAGGETT AVE STE 100, Klamath Falls, OR 97601
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Elise Gustafson 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.

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.

KIP BUNN FLORY BECKWITH
Physician Assistant
2821 DAGGETT AVE STE 100
KLAMATH FALLS, OR 97601
Klamath County (541) 274-6556
DWIGHT W SMITH MD
Family Medicine
2821 DAGGETT AVE STE 100
KLAMATH FALLS, OR 97601
Klamath County (541) 274-6733
MS. SAMANTHA JOANN DEFREESE
Student in an Organized Health Care Education/Training Program
2821 DAGGETT AVE STE 100
KLAMATH FALLS, OR 97601
Klamath County (541) 274-6733
RADU MOISA M.D.
General Practice
2821 DAGGETT AVE STE 100
KLAMATH FALLS, OR 97601
Klamath County (541) 274-6733
DR. MADELINE BOYD MD
Family Medicine (Hospice and Palliative Medicine)
2821 DAGGETT AVE STE 100
KLAMATH FALLS, OR 97601
Klamath County (541) 274-6733
DEVIN RYAN ROJAS MD
Student in an Organized Health Care Education/Training Program
2821 DAGGETT AVE STE 100
KLAMATH FALLS, OR 97601
Klamath County (541) 274-6733
RACHEL SHEA KELSALL DO
Student in an Organized Health Care Education/Training Program
2821 DAGGETT AVE STE 100
KLAMATH FALLS, OR 97601
Klamath County (503) 494-8211
MRS. CHELSEY MARIE CHAPMAN PA-C
Physician Assistant
2821 DAGGETT AVE STE 100
KLAMATH FALLS, OR 97601
Klamath County (541) 274-6733

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 Grace Gustafson's NPI number?

The NPI number for Grace Gustafson is 1225977226. It was assigned to this individual provider in the NPPES registry on March 25, 2026.

Where is Grace Gustafson located?

Grace Gustafson practices at 2821 Daggett Ave Ste 100, Klamath Falls, OR 97601. The listed phone number is (503) 494-8211.

What is Grace Gustafson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Grace Gustafson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Grace Gustafson was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.