JENA B GUSTAFSON PA-C
NPI 1275851362
Physician Assistant in Youngstown, OH

Q: What is Jena Gustafson's NPI number?

The NPI number for Jena Gustafson is 1275851362. It was assigned to this individual provider in the NPPES registry on May 13, 2010.

Q: What is Jena Gustafson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jena Gustafson was last updated on February 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 May 13, 2010PECOS EnrolledAccepts Medicare Assignment

4308 BELMONT AVE, YOUNGSTOWN, OH 44505(330) 759-7038(330) 759-7071 Get Directions Write a Review

NPPES record last updated: February 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jena B Gustafson Pa-c NPPES

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

JENA B GUSTAFSON PA-C (NPI 1275851362) is an individual physician assistant in Youngstown, Ohio, licensed in Ohio (003058) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1275851362

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJENA B GUSTAFSONCredential: PA-C

Location Address4308 BELMONT AVEYoungstown, OH 44505-1052

Mailing Address4308 Belmont AveYoungstown, OH 44505-1052 · (330) 759-7038 · Fax (330) 759-7071

Phone(330) 759-7038

Fax(330) 759-7071

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateMay 13, 2010

Last NPPES UpdateFebruary 7, 2012

✔ NPI 1275851362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OH · 003058

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4308 BELMONT AVE, Youngstown, OH 44505

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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 and accepts Medicare assignment

Jena B Gustafson Pa-c 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 ID7012032865

PECOS Enrollment IDI20100916000602

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

35 services27 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

25 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360180

Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44505 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES 12

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

DR. OMER SHAIKH M.D.

Pediatrics