ZOEY MCKENNA GUSTAFSON ARNP
NPI 1235796251
Nurse Practitioner in Spokane, WA

Q: What is Zoey Gustafson's NPI number?

The NPI number for Zoey Gustafson is 1235796251. It was assigned to this individual provider in the NPPES registry on May 24, 2019.

Q: What is Zoey Gustafson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Zoey Gustafson was last updated on March 10, 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.

Active since May 24, 2019PECOS EnrolledAccepts Medicare Assignment

3919 N MAPLE ST, SPOKANE, WA 99205(509) 444-8200(509) 434-0392 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2026, Oct 25, 2022, Sep 12, 2022 and 2 more (5 updates tracked since 2019).

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About Zoey Mckenna Gustafson Arnp NPPES

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

ZOEY MCKENNA GUSTAFSON ARNP (NPI 1235796251) is an individual nurse practitioner in Spokane, Washington, licensed in Washington (AP61335763) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1235796251

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameZOEY MCKENNA GUSTAFSONCredential: ARNP

Location Address3919 N MAPLE STSpokane, WA 99205-1349

Mailing Address611 N Iron Bridge WaySpokane, WA 99202-4932 · (509) 444-8888 · Fax (509) 444-7806

Phone(509) 444-8200

Fax(509) 434-0392

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 24, 2019

Last NPPES UpdateMarch 10, 20265 updates tracked since enumeration

NPPES CertifiedMarch 10, 2026

✔ NPI 1235796251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WA · AP61335763

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN60842399 (WA)

3919 N MAPLE ST, Spokane, WA 99205

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, 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

Zoey Mckenna Gustafson Arnp 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 ID5890171110

PECOS Enrollment IDI20221010002048, I20260213000261

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 99205 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 20

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

KATHRYN KAYSER PHARMD

Pharmacist