CAMILLE MICHELLE GUSTAFSON
NPI 1689989550
Occupational Therapist in Iowa City, IA

Active since August 16, 2010Accepts Medicare Assignment
1552 MALL DR, IOWA CITY, IA 52240(319) 351-5437 Get Directions Write a Review

NPPES record last updated: August 16, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Camille Michelle Gustafson NPPES

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

CAMILLE MICHELLE GUSTAFSON (NPI 1689989550) is an individual occupational therapist in Iowa City, Iowa, licensed in Iowa (002077) and active in the NPI registry since August 2010. She is a graduate of Other (2010).

NPPES Registry Identity

NPI1689989550
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameCAMILLE MICHELLE GUSTAFSON
Location Address1552 MALL DRIowa City, IA 52240-3110
Mailing Address821 1/2 West StMantorville, MN 55955-8056 · (507) 384-2916
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 16, 2010
✔ NPI 1689989550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in IA · 002077
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
1552 MALL DR, Iowa City, IA 52240

Accepted Insurance

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

Camille Michelle 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 ID2264827724
PECOS Enrollment IDI20220318001535

Medicare Billing Reassignment

Medicare enrollment records show Camille Gustafson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
6731 W 121ST ST STE 100
Overland Park, KS 66209
  • Reassigned Medicare billing, Iowa enrollment
  • 4 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.

Other Providers at the Same Location NPPES 18

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

Occupational Therapist (Pediatrics)
1552 MALL DR
IOWA CITY, IA 52240
Community/Behavioral Health
1552 MALL DR
IOWA CITY, IA 52240
Speech-Language Pathologist
1552 MALL DR
IOWA CITY, IA 52240
Physical Therapist
1552 MALL DR
IOWA CITY, IA 52240
Speech-Language Pathologist
1552 MALL DR
IOWA CITY, IA 52240
Occupational Therapist
1552 MALL DR
IOWA CITY, IA 52240
Physical Therapist (Pediatrics)
1552 MALL DR
IOWA CITY, IA 52240
Speech-Language Pathologist
1552 MALL DR
IOWA CITY, IA 52240

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 Camille Gustafson's NPI number?

The NPI number for Camille Gustafson is 1689989550. It was assigned to this individual provider in the NPPES registry on August 16, 2010.

Where is Camille Gustafson located?

Camille Gustafson practices at 1552 Mall Dr, Iowa City, IA 52240. The listed phone number is (319) 351-5437.

What is Camille Gustafson's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Camille Gustafson enrolled in Medicare?

Yes. Camille 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 organization bills Medicare for Camille Gustafson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Camille Gustafson reassigns Medicare benefits to Summit Care, LLC (Overland Park, KS). The 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 Camille Gustafson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Camille Gustafson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 2 other insurers list Camille Gustafson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Camille Gustafson was last updated on August 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.