MRS. MELISSA ANN GUSTAFSON
NPI 1659004133
Nurse Practitioner - Family in Grass Valley, CA

Active since July 02, 2022PECOS EnrolledAccepts Medicare Assignment
844 OLD TUNNEL RD, GRASS VALLEY, CA 95945(925) 864-7722 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Melissa Ann Gustafson NPPES

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

MRS. MELISSA ANN GUSTAFSON (NPI 1659004133) is an individual family provider in Grass Valley, California, licensed in California (95027646) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of University Of Nevada School Of Medicine (2023).

NPPES Registry Identity

NPI1659004133
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MELISSA ANN GUSTAFSON
Location Address844 OLD TUNNEL RDGrass Valley, CA 95945-8524
Mailing Address844 Old Tunnel RdGrass Valley, CA 95945-8524 · (925) 864-7722
Sole ProprietorNo
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2023
Enumeration DateJuly 2, 2022
Last NPPES UpdateMarch 26, 2024
NPPES CertifiedDecember 20, 2023
NPI 1659004133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95027646
Also ListedRegistered NurseTaxonomy 163W00000X · License 95071134 (CA)
844 OLD TUNNEL RD, Grass Valley, CA 95945

Other Names 1

Former Name (1)Melissa Ann Lowe Rn

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

Mrs. Melissa Ann Gustafson 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 ID3072953553
PECOS Enrollment IDI20240501001035
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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
26 services18 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95945 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 20

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

Registered Nurse (Women's Health Care, Ambulatory)
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Physician Assistant (Medical)
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Nurse Practitioner (Pediatrics)
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Clinic/Center (Federally Qualified Health Center (FQHC))
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Pharmacy (Community/Retail Pharmacy)
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Nurse Practitioner (Psychiatric/Mental Health)
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Physician Assistant
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Nurse Practitioner (Women's Health)
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945

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 Melissa Gustafson's NPI number?

The NPI number for Melissa Gustafson is 1659004133. It was assigned to this individual provider in the NPPES registry on July 2, 2022. The provider is also known as Melissa Ann Lowe Rn.

Where is Melissa Gustafson located?

Melissa Gustafson practices at 844 Old Tunnel Rd, Grass Valley, CA 95945. The listed phone number is (925) 864-7722.

What is Melissa Gustafson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Melissa Gustafson enrolled in Medicare?

Yes. Melissa 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.

When was this NPI record last updated?

The NPPES record for Melissa Gustafson was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.