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DR. KERRI SUE GUSTAFSON DDS
NPI 1316910763
Dentist - Pediatric Dentistry in Roseville, MI

Active since February 08, 2006PECOS Enrolled
18245 E 10 MILE RD, SUITE 110, ROSEVILLE, MI 48066(586) 585-2402(586) 445-1473 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2022, Jul 21, 2022, Jul 12, 2017 (3 updates tracked since 2017).

About Dr. Kerri Sue Gustafson Dds NPPES

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

DR. KERRI SUE GUSTAFSON DDS (NPI 1316910763) is an individual pediatric dentistry provider in Roseville, Michigan, licensed in Michigan (2901018319) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316910763
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. KERRI SUE GUSTAFSONCredential: DDS
Location Address18245 E 10 MILE RD, SUITE 110Roseville, MI 48066-5807
Mailing Address18245 E 10 Mile Rd, Suite 110Roseville, MI 48066-5807 · (586) 585-2402 · Fax (586) 445-1473
Phone(586) 585-2402
Fax(586) 445-1473
Sole ProprietorYes
Enumeration DateFebruary 8, 2006
Last NPPES UpdateOctober 3, 20223 updates tracked since enumeration
NPPES CertifiedOctober 3, 2022
✔ NPI 1316910763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in MI · 2901018319✔ Licensed in OR · D11710
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
18245 E 10 MILE RD, Roseville, MI 48066
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kerri Sue Gustafson Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48066 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 6

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

MR. MITCHELL BRIAN SCHRAM OTRL
Occupational Therapist
18245 E 10 MILE RD
ROSEVILLE, MI 48066
Macomb County (586) 774-3100
DUDLEY ROBERTS M.D, L.L.C.
Internal Medicine
18245 E 10 MILE RD, SUITE 120
ROSEVILLE, MI 48066
Macomb County (586) 774-8710
CUBE
Community/Behavioral Health
18245 E 10 MILE RD, SUITE 140
ROSEVILLE, MI 48066
Macomb County (586) 218-7532
JEFFREY MAURICE HALL M.D.
Surgery (Surgery of the Hand)
18245 E 10 MILE RD, SUITE 130
ROSEVILLE, MI 48066
Macomb County (586) 774-4200
MAZIN MOHI DEEN M.D.
Internal Medicine
18245 E 10 MILE RD, SUITE 120
ROSEVILLE, MI 48066
Macomb County (586) 774-8710
DUDLEY ROBERTS III M.D.
Internal Medicine
18245 E 10 MILE RD
ROSEVILLE, MI 48066
Macomb County (586) 774-8710

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 Kerri Gustafson's NPI number?

The NPI number for Kerri Gustafson is 1316910763. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Kerri Gustafson located?

Kerri Gustafson practices at 18245 E 10 Mile Rd Suite 110, Roseville, MI 48066. The listed phone number is (586) 585-2402.

What is Kerri Gustafson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Kerri Gustafson enrolled in Medicare?

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

What insurance does Kerri Gustafson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Kerri 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 Kerri Gustafson was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.