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BLAKE M GUSTAFSON PA
NPI 1326800574
Physician Assistant in Kansas City, KS

Active since January 24, 2024PECOS EnrolledAccepts Medicare Assignment
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160(913) 588-1227 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Blake M Gustafson Pa NPPES

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

BLAKE M GUSTAFSON PA (NPI 1326800574) is an individual physician assistant in Kansas City, Kansas, licensed in Kansas (15-02895) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Olathe Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1326800574
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBLAKE M GUSTAFSONCredential: PA
Location Address4000 CAMBRIDGE STKansas City, KS 66160-8501
Mailing Address616 Marriott Dr # ANashville, TN 37214-5048
Phone(913) 588-1227
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 24, 2024
Last NPPES UpdateJanuary 27, 2026
NPPES CertifiedJanuary 27, 2026
✔ NPI 1326800574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in KS · 15-02895✔ Licensed in MO · 2024004731
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.
4000 CAMBRIDGE ST, Kansas City, KS 66160
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Secondary Practice Locations 2

Location 1616 Marriott DrNashville, TN 37214-5048 · Phone (629) 802-3000
Location 220333 W 151st StOlathe, KS 66061-5350 · Phone (913) 588-1227

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

Blake M Gustafson Pa 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 ID9931646932
PECOS Enrollment IDI20240808001740
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
125 services118 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
30 services30 patients

Hospital Affiliations CMS Care Compare

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

Olathe Medical Center

Acute Care Hospitals · Olathe, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170049
Location20333 West 151st StreetOlathe, KS 66061 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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 20

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

KELSIE MARIE ZIMMERMAN
Physician Assistant (Surgical)
4000 CAMBRIDGE ST
KANSAS CITY, KS 66160
Wyandotte County (913) 588-8503
BLAKE CHRISTOPHER HEYING CRNA
Nurse Anesthetist, Certified Registered
4000 CAMBRIDGE ST
KANSAS CITY, KS 66160
Wyandotte County (913) 588-1227
KANSAS UNIVERSITY PHYSICIANS INC
Internal Medicine
4000 CAMBRIDGE ST
KANSAS CITY, KS 66160
Wyandotte County (913) 588-2527
ZEESHAN SATTAR
Internal Medicine
4000 CAMBRIDGE ST
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6005
AUSTIN MAYES PETZ
Emergency Medicine
4000 CAMBRIDGE ST
KANSAS CITY, KS 66160
Wyandotte County (913) 588-1559
MS. BRYLEE MALIA ANDERSEN
Registered Nurse (Oncology)
4000 CAMBRIDGE ST
KANSAS CITY, KS 66160
Wyandotte County (913) 588-1227
MARY L. THIESSEN M.D.
Emergency Medicine
4000 CAMBRIDGE ST
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6500
ANDERS MEYER
Pathology (Anatomic Pathology & Clinical Pathology)
4000 CAMBRIDGE ST
KANSAS CITY, KS 66160
Wyandotte County (913) 588-7090

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 Blake Gustafson's NPI number?

The NPI number for Blake Gustafson is 1326800574. It was assigned to this individual provider in the NPPES registry on January 24, 2024.

Where is Blake Gustafson located?

Blake Gustafson practices at 4000 Cambridge St, Kansas City, KS 66160. The listed phone number is (913) 588-1227.

What is Blake Gustafson's specialty?

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

Is Blake Gustafson enrolled in Medicare?

Yes. Blake Gustafson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Blake Gustafson affiliated with any hospitals?

According to CMS data, Blake Gustafson is affiliated with Olathe Medical Center.

When was this NPI record last updated?

The NPPES record for Blake Gustafson was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.