HOLLY GUSTAFSON ANP
NPI 1396173886
Nurse Practitioner - Family in Fort Collins, CO
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
Specialties & Licenses
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)
Holly Gustafson Anp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Holly Gustafson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Collins, CO 80524
- Reassigned Medicare billing, Colorado enrollment
- 9 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.
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.
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.
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.
FORT COLLINS, CO 80524
FORT COLLINS, CO 80524
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.
Which organization bills Medicare for Holly Gustafson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Gustafson reassigns Medicare benefits to The Family Clinic Of Fort Collins (Fort Collins, CO). 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 Holly Gustafson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Holly Gustafson, ANP · NPI 1396173886
Family physician in Fort Collins, Colorado. Individual provider, active in the CMS NPPES registry since October 22, 2013.
## Identity
- **NPI:** 1396173886 (Entity type: Individual)
- **Enumerated:** October 22, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0990927-NP (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 1124 E ELIZABETH ST STE C, Fort Collins, CO 80524-4051
- **Phone:** (970) 484-0798 · **Fax:** (970) 482-0679
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Family Clinic Of Fort Collins (NPI 1770671497, Fort Collins, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** April 12, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1396173886) · Data from the CMS NPPES public registry.