ANYSHA GUSTAFSON FNP-C
NPI 1497523963
Nurse Practitioner - Family in Farmington, NM

Q: What is Anysha Gustafson's NPI number?

The NPI number for Anysha Gustafson is 1497523963. It was assigned to this individual provider in the NPPES registry on December 14, 2023.

Q: What is Anysha Gustafson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anysha Gustafson was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since December 14, 2023PECOS EnrolledAccepts Medicare Assignment

656 W MAPLE ST, FARMINGTON, NM 87401(505) 609-2290 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2024, Jul 1, 2024, May 9, 2024 and 1 more (4 updates tracked since 2023).

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About Anysha Gustafson Fnp-c NPPES

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

ANYSHA GUSTAFSON FNP-C (NPI 1497523963) is an individual family provider in Farmington, New Mexico, licensed in New Mexico (77089) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, is affiliated with San Juan Regional Medical Center Inc, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1497523963

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANYSHA GUSTAFSONCredential: FNP-C

Location Address656 W MAPLE STFarmington, NM 87401-5968

Mailing AddressPo Box 844088Dallas, TX 75284-4088 · (505) 609-2258 · Fax (505) 609-2259

Phone(505) 609-2290

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateDecember 14, 2023

Last NPPES UpdateJuly 24, 20254 updates tracked since enumeration

NPPES CertifiedJuly 24, 2025

✔ NPI 1497523963 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 NM · 77089

656 W MAPLE ST, Farmington, NM 87401

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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

Anysha Gustafson Fnp-c 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 ID5092165613

PECOS Enrollment IDI20231222001254

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 8

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 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.

101 services74 patients

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.

27 services27 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

25 services25 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

22 services11 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

16 services16 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

San Juan Regional Medical Center Inc

Acute Care Hospitals · Farmington, NM

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number320005

Location801 West Maple StreetFarmington, NM 87401 · San Juan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87401 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$96.38 typical visit price

range $17.00 – $135.35

Typical copayment $24.09 (range $4.25 – $33.83)

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.

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Other Providers at the Same Location NPPES 6

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

K & L ASSOCIATES, PC

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