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GAIL M GUSTAFSON CRNP
NPI 1609929736
Nurse Practitioner - Adult Health in Harrisburg, PA

Active since January 20, 2007PECOS EnrolledAccepts Medicare Assignment
78.97/100
CMS Quality Rating
205 S FRONT ST, 4TH FLOOR, BMA, HARRISBURG, PA 17104(717) 231-8555(717) 231-8568 Get Directions Write a Review

NPPES record last updated: January 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 2, 2021, May 13, 2019, Jan 10, 2018 and 1 more (4 updates tracked since 2016).

About Gail M Gustafson Crnp NPPES

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

GAIL M GUSTAFSON CRNP (NPI 1609929736) is an individual adult health provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (SP012635) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Upmc Carlisle, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1609929736
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameGAIL M GUSTAFSONCredential: CRNP
Location Address205 S FRONT ST, 4TH FLOOR, BMAHarrisburg, PA 17104-1619
Mailing Address409 South Front St, Ste 2fHarrisburg, PA 17104-1621 · (717) 231-8555 · Fax (717) 231-8568
Phone(717) 231-8555
Fax(717) 231-8568
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 20, 2007
Last NPPES UpdateJanuary 2, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2021
✔ NPI 1609929736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in PA · SP012635
Also ListedRegistered NurseTaxonomy 163W00000X · License RN644665 (PA)
205 S FRONT ST, Harrisburg, PA 17104
Open in Google Maps ↗

Other Identifiers 1

Medicaid103079740PA

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

Gail M Gustafson Crnp 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 ID4486820602
PECOS Enrollment IDI20130614000286
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.

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.
74 services60 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
67 services67 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.
22 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services22 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.
19 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390058
Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County
Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Upmc Memorial

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390101
Location1701 Innovation DriveYork, PA 17408 · York County
Emergency services Birthing friendly

Upmc Hanover

Acute Care Hospitals · Hanover, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390233
Location300 Highland AveHanover, PA 17331 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17104 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

78.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.63
Promoting Interoperability100
Improvement Activities40
Cost63.26

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.

LINDSEY HAGA
Surgery
205 S FRONT ST, SUITE 200
HARRISBURG, PA 17104
Dauphin County (717) 231-8755
STEPHEN ATKINSON DO
Surgery
205 S FRONT ST, BRADY BUILDING FLOOR 9
HARRISBURG, PA 17104
Dauphin County (717) 231-8755
ANGELA PATRICE PEASE LCSW
Social Worker (Clinical)
205 S FRONT ST
HARRISBURG, PA 17104
Dauphin County (717) 231-8360
DARIA CHELYSHEVA M.D.
Student in an Organized Health Care Education/Training Program
205 S FRONT ST, SUITE 3C
HARRISBURG, PA 17104
Dauphin County (412) 647-6426
MARK J JOHNSON PSYD
Psychologist
205 S FRONT ST, 5TH FLOOR BMA
HARRISBURG, PA 17104
Dauphin County (717) 231-8360
BHARATH NAIR SURESH KUMAR BINDU
Student in an Organized Health Care Education/Training Program
205 S FRONT ST
HARRISBURG, PA 17104
Dauphin County (717) 231-8532
RUBEN JOAN GONZALEZ VELEZ MD
General Practice
205 S FRONT ST
HARRISBURG, PA 17104
Dauphin County (717) 231-8722
JEANETTE MORALES-BRAND MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
205 S FRONT ST
HARRISBURG, PA 17104
Dauphin County (717) 231-8360

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 Gail Gustafson's NPI number?

The NPI number for Gail Gustafson is 1609929736. It was assigned to this individual provider in the NPPES registry on January 20, 2007.

Where is Gail Gustafson located?

Gail Gustafson practices at 205 S Front St 4th Floor, Bma, Harrisburg, PA 17104. The listed phone number is (717) 231-8555.

What is Gail Gustafson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Gail Gustafson enrolled in Medicare?

Yes. Gail 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.

Is Gail Gustafson affiliated with any hospitals?

According to CMS data, Gail Gustafson is affiliated with Upmc Carlisle, Upmc Pinnacle Hospitals, Upmc Memorial and Upmc Hanover.

When was this NPI record last updated?

The NPPES record for Gail Gustafson was last updated on January 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.