LEIGH ANNE GUSTAFSON AGACNP-BC
NPI 1558015099
Nurse Practitioner - Acute Care in Medford, OR

Q: 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.

Q: What is Leigh Gustafson's specialty?

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

Q: 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.

Active since February 03, 2022PECOS EnrolledAccepts Medicare Assignment

827 SPRING ST, MEDFORD, OR 97504(541) 732-7600(541) 732-7601 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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

NPI1558015099

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameLEIGH ANNE GUSTAFSONCredential: AGACNP-BC

Location Address827 SPRING STMedford, OR 97504-6104

Mailing Address2678 Kerrisdale Ridge DrMedford, OR 97504-5719 · (541) 601-8569

Phone(541) 732-7600

Fax(541) 732-7601

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateFebruary 3, 2022

NPPES CertifiedFebruary 3, 2022

✔ NPI 1558015099 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 OR · 202201187NP-PP

827 SPRING ST, Medford, OR 97504

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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

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.

PECOS PAC ID2264825330

PECOS Enrollment IDI20220214000776

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

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

27 services27 patients

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, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number380075

Location1111 Crater Lake AvenueMedford, OR 97504 · Jackson County

Emergency services Birthing friendly

Physician 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.

New Patient

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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 10

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

DR. NAJIA SAYEDY M.D.

Internal Medicine (Pulmonary Disease)