MRS. GINA A GUSTAFSON PMHNP
NPI 1700511193
Nurse Practitioner - Psychiatric/Mental Health in Mishawaka, IN

NPI Status: Active since July 19, 2022

Contact Information

215 W 4TH ST
MISHAWAKA, IN
ZIP 46544
Phone: (574) 325-5961

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  • Individual
  • Female
  • Nurse Practitioner
  • Psychiatric/Mental Health

About GINA GUSTAFSON

This page provides the complete NPI Profile along with additional information for Gina Gustafson, a provider established in Mishawaka, Indiana with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1700511193 assigned on July 2022. The practitioner's primary taxonomy code is 363LP0808X with license number 71012773A (IN). The provider is registered as an individual and her NPI record was last updated January 2026.

NPI
1700511193
Provider Name
MRS. GINA A GUSTAFSON PMHNP
Gender
Female
Entity Type
Individual
Location Address
215 W 4TH ST MISHAWAKA, IN 46544
Location Phone
(574) 325-5961
Mailing Address
52854 HILL TRL SOUTH BEND, IN 46628
Mailing Phone
(574) 850-9545
Is Sole Proprietor?
No
Enumeration Date
07-19-2022
Last Update Date
01-04-2026
Code Navigator

A nurse practitioner (NP) like Gina Gustafson is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
71012773A
License State
IN

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1700511193, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
0
Doubled → 0
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 5 → 10 → 1 1 → 2 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 0 + 0 + 1 + 0 + 1 + 2 + 1 + 1 + 8 + 24 = 47

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1700511193.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Anesthesiology
215 W 4TH ST
MISHAWAKA, IN 46544
Anesthesiology
215 W 4TH ST
MISHAWAKA, IN 46544
Nurse Practitioner
215 W 4TH ST
MISHAWAKA, IN 46544
Dietitian, Registered
215 W 4TH ST
MISHAWAKA, IN 46544
Long Term Care Hospital
215 W 4TH ST, SUITE 200
MISHAWAKA, IN 46544
Long Term Care Hospital
215 W 4TH ST, 2ND FLOOR
MISHAWAKA, IN 46544
Hospitalist
215 W 4TH ST, 2ND FL
MISHAWAKA, IN 46544
Long Term Care Hospital
215 W 4TH ST
MISHAWAKA, IN 46544
Podiatrist (Foot Surgery)
215 W 4TH ST
MISHAWAKA, IN 46544
Hospitalist
215 W 4TH ST, # 200
MISHAWAKA, IN 46544
Psychiatry & Neurology (Psychiatry)
215 W 4TH ST
MISHAWAKA, IN 46544
Nurse Practitioner (Psychiatric/Mental Health)
215 W 4TH ST
MISHAWAKA, IN 46544
Nurse Practitioner (Psychiatric/Mental Health)
215 W 4TH ST
MISHAWAKA, IN 46544
Nurse Practitioner (Psychiatric/Mental Health)
215 W 4TH ST
MISHAWAKA, IN 46544
Psychiatric Hospital
215 W 4TH ST
MISHAWAKA, IN 46544
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
215 W 4TH ST
MISHAWAKA, IN 46544

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700511193, enumerated as an "individual" on July 19, 2022.

The provider is located at 215 W 4TH ST MISHAWAKA, IN 46544 and the phone number is (574) 325-5961.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.