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LEIA JO GUSTIN AGACNP
NPI 1417782996
Nurse Practitioner - Acute Care in Hampton, VA

Active since September 04, 2024PECOS EnrolledAccepts Medicare Assignment
3000 COLISEUM DR STE 200, HAMPTON, VA 23666(757) 367-2507(757) 224-2198 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 9, 2024, Sep 18, 2024, Sep 4, 2024 (3 updates tracked since 2024).

About Leia Jo Gustin Agacnp NPPES

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

LEIA JO GUSTIN AGACNP (NPI 1417782996) is an individual acute care provider in Hampton, Virginia, licensed in Virginia (0024190296) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Sentara Williamsburg Regional Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1417782996
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameLEIA JO GUSTINCredential: AGACNP
Location Address3000 COLISEUM DR STE 200Hampton, VA 23666-5963
Mailing Address3000 Coliseum Dr Ste 200Hampton, VA 23666-5963 · (757) 736-7250 · Fax (757) 224-2198
Phone(757) 367-2507
Fax(757) 224-2198
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 4, 2024
Last NPPES UpdateDecember 9, 20243 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
✔ NPI 1417782996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in VA · 0024190296
3000 COLISEUM DR STE 200, Hampton, VA 23666
Open in Google Maps ↗

Other Names 1

Other Name (5)Leia J Gustin Agacnp

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

Leia Jo Gustin Agacnp 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 ID6709311293
PECOS Enrollment IDI20241120002974
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.

Hospital Affiliations CMS Care Compare 2

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

Sentara Williamsburg Regional Medical Center

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490066
Location100 Sentara CircleWilliamsburg, VA 23188 · James City County
Emergency services Birthing friendly

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490093
Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23666 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 16

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

CHARLES JOSEPH FISHER II MD
Surgery
3000 COLISEUM DR STE 200
HAMPTON, VA 23666
Hampton City (757) 736-7280
DR. SARA MAE EDEIKEN MD
Surgery (Vascular Surgery)
3000 COLISEUM DR STE 200
HAMPTON, VA 23666
Hampton City (757) 224-2198
ROCIO GISEL OLAVE MSN, PH.D., FNP-C
Nurse Practitioner (Family)
3000 COLISEUM DR STE 200
HAMPTON, VA 23666
Hampton City (757) 736-7250
DENNIS M CRUFF M.D.
Surgery
3000 COLISEUM DR STE 200
HAMPTON, VA 23666
Hampton City (757) 736-7280
SENTARA MEDICAL GROUP
Surgery (Vascular Surgery)
3000 COLISEUM DR STE 200
HAMPTON, VA 23666
Hampton City (757) 262-1110
MR. KENNETH SADLER MEYERS MD
Surgery
3000 COLISEUM DR STE 200
HAMPTON, VA 23666
Hampton City (757) 736-7280
DR. DAVID LARRELL RHOINEY D.O.
Surgery (Vascular Surgery)
3000 COLISEUM DR STE 200
HAMPTON, VA 23666
Hampton City (757) 736-1250
MICHAEL WILLIAM MCCORMICK MD
Surgery
3000 COLISEUM DR STE 200
HAMPTON, VA 23666
Hampton City (757) 736-7280

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 Leia Gustin's NPI number?

The NPI number for Leia Gustin is 1417782996. It was assigned to this individual provider in the NPPES registry on September 4, 2024. The provider is also known as Leia J Gustin Agacnp.

Where is Leia Gustin located?

Leia Gustin practices at 3000 Coliseum Dr Ste 200, Hampton, VA 23666. The listed phone number is (757) 367-2507.

What is Leia Gustin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Leia Gustin enrolled in Medicare?

Yes. Leia Gustin 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 Leia Gustin affiliated with any hospitals?

According to CMS data, Leia Gustin is affiliated with Sentara Williamsburg Regional Medical Center and Sentara Careplex Hospital.

When was this NPI record last updated?

The NPPES record for Leia Gustin was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.