ALYSSA GUSTAFSON MSN, CNP, NNP-BC
NPI 1477263176
Nurse Practitioner - Neonatal in Minneapolis, MN

Q: What is Alyssa Gustafson's NPI number?

The NPI number for Alyssa Gustafson is 1477263176. It was assigned to this individual provider in the NPPES registry on December 5, 2022.

Q: What is Alyssa Gustafson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Gustafson was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since December 05, 2022PECOS Enrolled

2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 273-7032 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Alyssa Gustafson Msn, Cnp, Nnp-bc NPPES

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

ALYSSA GUSTAFSON MSN, CNP, NNP-BC (NPI 1477263176) is an individual neonatal provider in Minneapolis, Minnesota, licensed in Minnesota (9771) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477263176

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameALYSSA GUSTAFSONCredential: MSN, CNP, NNP-BC

Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450

Mailing Address2370 Stonecrest Path NwPrior Lake, MN 55372-4006

Phone(612) 273-7032

Sole ProprietorNo

Enumeration DateDecember 5, 2022

NPPES CertifiedOctober 24, 2022

✔ NPI 1477263176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

License✔ Licensed in MN · 9771

2450 RIVERSIDE AVE, Minneapolis, MN 55454

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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)

Alyssa Gustafson Msn, Cnp, Nnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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 20

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

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