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HOLLY GUSTAFSON ANP
NPI 1396173886
Nurse Practitioner - Family in Fort Collins, CO

Active since October 22, 2013PECOS Enrolled
1124 E ELIZABETH ST STE C, FORT COLLINS, CO 80524(970) 484-0798(970) 482-0679 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Holly Gustafson Anp NPPES

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

HOLLY GUSTAFSON ANP (NPI 1396173886) is an individual family provider in Fort Collins, Colorado, licensed in Colorado (0990927-NP) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1396173886
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHOLLY GUSTAFSONCredential: ANP
Location Address1124 E ELIZABETH ST STE CFort Collins, CO 80524-4051
Mailing Address1124 E Elizabeth St Ste CFort Collins, CO 80524-4051 · (970) 484-0798 · Fax (970) 482-0679
Phone(970) 484-0798
Fax(970) 482-0679
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 22, 2013
Last NPPES UpdateApril 12, 2017
✔ NPI 1396173886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CO · 0990927-NP
1124 E ELIZABETH ST STE C, Fort Collins, CO 80524
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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)

Holly Gustafson Anp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082938022
PECOS Enrollment IDI20150121001540
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.
36 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.
36 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80524 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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 5

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

KIRSTIN NICOLE MAROLF PA-C
Physician Assistant
1124 E ELIZABETH ST STE C
FORT COLLINS, CO 80524
Larimer County (970) 484-0798
DR. JEFFREY NEAL KAUFFMAN
Family Medicine
1124 E ELIZABETH ST STE C, BLDG C
FORT COLLINS, CO 80524
Larimer County (970) 484-0798
AMELIA SAGUN PA
Physician Assistant
1124 E ELIZABETH ST STE C
FORT COLLINS, CO 80524
Larimer County (970) 484-0798
ASSOCIATES IN FAMILY MEDICINE PC
Clinic/Center (Primary Care)
1124 E ELIZABETH ST STE C
FORT COLLINS, CO 80524
Larimer County (970) 484-0798
PSYCHIATRIC SERVICES OF THE ROCKIES CORPORATION
Psychiatry & Neurology (Psychiatry)
1124 E ELIZABETH ST STE C
FORT COLLINS, CO 80524
Larimer County (970) 682-1582

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 Holly Gustafson's NPI number?

The NPI number for Holly Gustafson is 1396173886. It was assigned to this individual provider in the NPPES registry on October 22, 2013.

Where is Holly Gustafson located?

Holly Gustafson practices at 1124 E Elizabeth St Ste C, Fort Collins, CO 80524. The listed phone number is (970) 484-0798.

What is Holly Gustafson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Holly Gustafson enrolled in Medicare?

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

What insurance does Holly Gustafson accept?

Health plans from UnitedHealthcare list Holly 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 Holly Gustafson was last updated on April 12, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.