HOLLY BARRON GUSTAFSON MD
NPI 1689842007
Internal Medicine in St Louis Park, MN
About Holly Barron Gustafson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY BARRON GUSTAFSON MD (NPI 1689842007) is an individual internal medicine provider in St Louis Park, Minnesota, licensed in Minnesota (18672) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and is a graduate of University Of Minnesota Medical School (2005).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Holly Barron Gustafson Md 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 Holly Gustafson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- 2,527 clinicians in this Medicare group
Robbinsdale, MN 55422
- Reassigned Medicare billing, Minnesota enrollment
- 540 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 15
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Memorial Health Hospital
Acute Care Hospitals · Robbinsdale, MNMaple Grove Hospital
Acute Care Hospitals · Maple Grove, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55416 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
MINNEAPOLIS, MN 55416
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
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 Holly Gustafson's NPI number?
The NPI number for Holly Gustafson is 1689842007. It was assigned to this individual provider in the NPPES registry on February 19, 2008. The provider is also known as Holly Jean Barron MD.
Where is Holly Gustafson located?
Holly Gustafson practices at 3800 Park Nicollet Blvd, St Louis Park, MN 55416. The listed phone number is (952) 993-3123.
What is Holly Gustafson's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Holly Gustafson enrolled in Medicare?
Yes. Holly 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 Holly Gustafson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Gustafson reassigns Medicare benefits to 2 organizations: Park Nicollet Clinic (St Louis Park, MN) and North Memorial Health Care (Robbinsdale, MN). 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 Holly Gustafson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Holly Gustafson affiliated with any hospitals?
According to CMS data, Holly Gustafson is affiliated with North Memorial Health Hospital and Maple Grove Hospital.
When was this NPI record last updated?
The NPPES record for Holly Gustafson was last updated on January 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Holly Barron Gustafson, MD · NPI 1689842007
Internal Medicine physician in St Louis Park, Minnesota. Individual provider, active in the CMS NPPES registry since February 19, 2008.
## Identity
- **NPI:** 1689842007 (Entity type: Individual)
- **Enumerated:** February 19, 2008
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 18672 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 3800 PARK NICOLLET BLVD, St Louis Park, MN 55416-2527
- **Phone:** (952) 993-3123
## 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): Park Nicollet Clinic (NPI 1063897593, St Louis Park, MN); North Memorial Health Care (NPI 1285657247, Robbinsdale, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2005
## Record status
- **NPPES last updated:** January 4, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1689842007) · Data from the CMS NPPES public registry.