ANNA GUSTAFSON FNP-C
NPI 1558890707
Nurse Practitioner - Family in Woodbury, MN

Q: What is Anna Gustafson's NPI number?

The NPI number for Anna Gustafson is 1558890707. It was assigned to this individual provider in the NPPES registry on June 9, 2017.

Q: What is Anna 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 Anna Gustafson was last updated on July 21, 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 June 09, 2017PECOS EnrolledAccepts Medicare Assignment

83.53/100

CMS Quality Rating

8675 VALLEY CREEK RD, WOODBURY, MN 55125(651) 241-3000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 9, 2017 (3 updates tracked since 2017).

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About Anna Gustafson Fnp-c NPPES

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

ANNA GUSTAFSON FNP-C (NPI 1558890707) is an individual family provider in Woodbury, Minnesota, licensed in Minnesota (R1771736) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Buffalo, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1558890707

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANNA GUSTAFSONCredential: FNP-C

Location Address8675 VALLEY CREEK RDWoodbury, MN 55125-2337

Mailing Address20600 Rush Meadow LnRogers, MN 55374-9718 · (612) 437-2427

Phone(651) 241-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 9, 2017

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1558890707 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 MN · R1771736

8675 VALLEY CREEK RD, Woodbury, MN 55125

Open in Google Maps ↗

Secondary Practice Location 1

Location 1303 Catlin StBuffalo, MN 55313-1947 · Phone (763) 682-5225

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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

Anna 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 ID5092086033

PECOS Enrollment IDI20170809001137

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 2

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 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.

64 services63 patients

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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55125 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.

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.

83.53/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.79

Promoting Interoperability

100

Improvement Activities

Cost

63.31

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.

DR. DAVID SHRAKE D.O.

Family Medicine