Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. EMILY ASTA HANSEN GUSTAFSON DO
NPI 1376002691
Family Medicine in Oliver Springs, TN

Active since March 16, 2019PECOS Enrolled
103 BENNETT RD, OLIVER SPRINGS, TN 37840(865) 135-1933 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 28, 2026, Aug 13, 2026, Aug 4, 2026 and 4 more (7 updates tracked since 2019).

About Dr. Emily Asta Hansen Gustafson Do NPPES

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

DR. EMILY ASTA HANSEN GUSTAFSON DO (NPI 1376002691) is an individual family medicine provider in Oliver Springs, Tennessee, licensed in Tennessee (6794) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Wyoming Medical Center, and maintains a secondary practice location in Casper.

NPPES Registry Identity

NPI1376002691
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. EMILY ASTA HANSEN GUSTAFSONCredential: DO
Location Address103 BENNETT RDOliver Springs, TN 37840-5008
Mailing Address103 Bennett RdOliver Springs, TN 37840-5008 · (865) 135-1933
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 16, 2019
Last NPPES UpdateAugust 28, 20267 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
✔ NPI 1376002691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TN · 6794✔ Licensed in WY · 216-T2
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
103 BENNETT RD, Oliver Springs, TN 37840

Other Names 1

Former Name (1)Emily Asta Hansen Do

Secondary Practice Location 1

Location 11522 E A StCasper, WY 82601-2254 · Phone (307) 234-6161

Other Identifiers 1

MedicaidQ116561TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Emily Asta Hansen Gustafson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759820798
PECOS Enrollment IDI20260819001932
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.

Medicare Billing Reassignment

Medicare enrollment records show Emily Gustafson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
1420 CENTERPOINT BLVD
Knoxville, TN 37932
  • Reassigned Medicare billing, Tennessee enrollment
  • 504 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Wyoming Medical Center

Acute Care Hospitals · Casper, WY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number530012
Location1233 East 2nd StCasper, WY 82601 · Natrona County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37840 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 3

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

Nurse Practitioner
103 BENNETT RD
OLIVER SPRINGS, TN 37840
Family Medicine
103 BENNETT RD
OLIVER SPRINGS, TN 37840
Family Medicine
103 BENNETT RD
OLIVER SPRINGS, TN 37840

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 Emily Gustafson's NPI number?

The NPI number for Emily Gustafson is 1376002691. It was assigned to this individual provider in the NPPES registry on March 16, 2019. The provider is also known as Emily Asta Hansen Do.

Where is Emily Gustafson located?

Emily Gustafson practices at 103 Bennett Rd, Oliver Springs, TN 37840. The listed phone number is (865) 135-1933.

What is Emily Gustafson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Emily Gustafson enrolled in Medicare?

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

Which organization bills Medicare for Emily Gustafson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Gustafson reassigns Medicare benefits to Covenant Medical Group, Inc. (Knoxville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emily Gustafson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Gustafson accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare and Oscar Insurance Company list Emily 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.

Is Emily Gustafson affiliated with any hospitals?

According to CMS data, Emily Gustafson is affiliated with Wyoming Medical Center.

When was this NPI record last updated?

The NPPES record for Emily Gustafson was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.