LEIGH ANNE GUSTAFSON AGACNP-BC
NPI 1558015099
Nurse Practitioner - Acute Care in Medford, OR
About Leigh Anne Gustafson Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEIGH ANNE GUSTAFSON AGACNP-BC (NPI 1558015099) is an individual acute care provider in Medford, Oregon, licensed in Oregon (202201187NP-PP) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Providence Medford Medical Center, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Leigh Anne Gustafson Agacnp-bc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Leigh Gustafson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Medford, OR 97504
- Reassigned Medicare billing, Oregon enrollment
- 311 clinicians in this Medicare group
Spokane, WA 99204
- Reassigned Medicare billing, Oregon enrollment
- 82 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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence Medford Medical Center
Acute Care Hospitals · Medford, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97504 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 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Leigh Gustafson's NPI number?
The NPI number for Leigh Gustafson is 1558015099. It was assigned to this individual provider in the NPPES registry on February 3, 2022.
Where is Leigh Gustafson located?
Leigh Gustafson practices at 827 Spring St, Medford, OR 97504. The listed phone number is (541) 732-7600.
What is Leigh Gustafson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Leigh Gustafson enrolled in Medicare?
Yes. Leigh Gustafson 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.
Which organizations bill Medicare for Leigh Gustafson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Leigh Gustafson reassigns Medicare benefits to 2 organizations: Providence Health & Services - Oregon (Medford, OR) and Sound Physicians Intensivists Of Washington PLLC (Spokane, WA). Each 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 Leigh Gustafson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Leigh Gustafson affiliated with any hospitals?
According to CMS data, Leigh Gustafson is affiliated with Providence Medford Medical Center.
When was this NPI record last updated?
The NPPES record for Leigh Gustafson was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Leigh Anne Gustafson, AGACNP-BC · NPI 1558015099
Acute Care physician in Medford, Oregon. Individual provider, active in the CMS NPPES registry since February 3, 2022.
## Identity
- **NPI:** 1558015099 (Entity type: Individual)
- **Enumerated:** February 3, 2022
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 202201187NP-PP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 827 SPRING ST, Medford, OR 97504-6104
- **Phone:** (541) 732-7600 · **Fax:** (541) 732-7601
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Providence Health & Services - Oregon (NPI 1093976243, Medford, OR); Sound Physicians Intensivists Of Washington PLLC (NPI 1528582699, Spokane, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** February 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1558015099) · Data from the CMS NPPES public registry.