MS. CASEY L GUSTAVISON ANP
NPI 1508004706
Nurse Practitioner in Carbondale, IL

Active since January 26, 2009PECOS EnrolledAccepts Medicare Assignment
75.73/100
CMS Quality Rating
409 W OAK ST, CARBONDALE, IL 62901(618) 529-4455(618) 351-1287 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 30, 2020, Dec 9, 2019, Sep 11, 2019 and 1 more (4 updates tracked since 2019).

About Ms. Casey L Gustavison Anp NPPES

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

MS. CASEY L GUSTAVISON ANP (NPI 1508004706) is an individual nurse practitioner in Carbondale, Illinois, licensed in Illinois (209008417) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1508004706
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. CASEY L GUSTAVISONCredential: ANP
Location Address409 W OAK STCarbondale, IL 62901-1464
Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200
Fax(618) 351-1287
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 26, 2009
Last NPPES UpdateOctober 30, 20204 updates tracked since enumeration
NPPES CertifiedOctober 30, 2020
NPI 1508004706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IL · 209008417
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

409 W OAK ST, Carbondale, IL 62901

Other Identifiers 3

Other71002863AIN · License
Other71002863BIN · Csr
MedicaidPENDINGIN

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

Ms. Casey L Gustavison Anp 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 ID2567529811
PECOS Enrollment IDI20110325000726
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
190 services108 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
150 services88 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
120 services115 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services22 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Heartland Regional Medical Center

Acute Care Hospitals · Marion, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140184
Location3333 W DeyoungMarion, IL 62959 · Williamson County
Emergency services

Crossroads Community Hospital

Acute Care Hospitals · Mount Vernon, IL
OwnershipProprietary
CMS Certification Number140294
Location8 Doctors Park RdMount Vernon, IL 62864 · Jefferson County
Emergency services

Anna Hospital Corporation D/B/A Union County Hospital

Critical Access Hospitals · Anna, IL
OwnershipProprietary
CMS Certification Number141342
Location517 North Main StreetAnna, IL 62906 · Union County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.09
Promoting Interoperability100
Improvement Activities40
Cost45.26

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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
409 W OAK ST
CARBONDALE, IL 62901
Physician Assistant
409 W OAK ST
CARBONDALE, IL 62901
Nuclear Medicine (Nuclear Cardiology)
409 W OAK ST
CARBONDALE, IL 62901
Internal Medicine (Cardiovascular Disease)
409 W OAK ST
CARBONDALE, IL 62901
Nurse Practitioner
409 W OAK ST
CARBONDALE, IL 62901
Internal Medicine (Cardiovascular Disease)
409 W OAK ST
CARBONDALE, IL 62901
Nurse Practitioner
409 W OAK ST
CARBONDALE, IL 62901
Internal Medicine (Interventional Cardiology)
409 W OAK ST
CARBONDALE, IL 62901

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 Casey Gustavison's NPI number?

The NPI number for Casey Gustavison is 1508004706. It was assigned to this individual provider in the NPPES registry on January 26, 2009.

Where is Casey Gustavison located?

Casey Gustavison practices at 409 W Oak St, Carbondale, IL 62901. The listed phone number is (618) 529-4455.

What is Casey Gustavison's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Casey Gustavison enrolled in Medicare?

Yes. Casey Gustavison 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 Casey Gustavison affiliated with any hospitals?

According to CMS data, Casey Gustavison is affiliated with Herrin Hospital, Heartland Regional Medical Center, Crossroads Community Hospital and Anna Hospital Corporation D/B/A Union County Hospital.

When was this NPI record last updated?

The NPPES record for Casey Gustavison was last updated on October 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.