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

Active since July 19, 2022
215 W 4TH ST, MISHAWAKA, IN 46544(574) 325-5961 Get Directions Write a Review

NPPES record last updated: January 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2026, Jul 19, 2022 (2 updates tracked since 2022).

About Mrs. Gina A Gustafson Pmhnp NPPES

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

MRS. GINA A GUSTAFSON PMHNP (NPI 1700511193) is an individual psychiatric/mental health provider in Mishawaka, Indiana, licensed in Indiana (71012773A) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1700511193
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. GINA A GUSTAFSONCredential: PMHNP
Location Address215 W 4TH STMishawaka, IN 46544-1917
Mailing Address52854 Hill TrlSouth Bend, IN 46628-9285 · (574) 850-9545
Phone(574) 325-5961
Sole ProprietorNo
Enumeration DateJuly 19, 2022
Last NPPES UpdateJanuary 4, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2026
✔ NPI 1700511193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IN · 71012773A
215 W 4TH ST, Mishawaka, IN 46544
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Other Providers at the Same Location NPPES 19

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

RIVER BEND ANESTHESIA, LLC
Anesthesiology
215 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (574) 271-0013
ICR SOUTH BEND OPERATING SUBSIDIARY, LLC
Psychiatric Hospital
215 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (574) 544-0207
SCCI HOSPITALS OF AMERICA, LLC
Long Term Care Hospital
215 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (574) 251-8238
SELECT SPECIALTY HOSPITAL - NORTHERN INDIANA, LLC
Long Term Care Hospital
215 W 4TH ST, 2ND FLOOR
MISHAWAKA, IN 46544
St. Joseph County (717) 972-1100
INDIANA CENTER FOR RECOVERY SOUTH BEND, LLC
Psychiatric Hospital
215 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (561) 305-0461
SELECT SPECIALTY HOSPITAL - NORTHERN INDIANA, LLC
Hospitalist
215 W 4TH ST, 2ND FL
MISHAWAKA, IN 46544
St. Joseph County (717) 972-1100
SOUND PHYSICIANS OF INDIANA, LLC
Hospitalist
215 W 4TH ST, # 200
MISHAWAKA, IN 46544
St. Joseph County (574) 252-2000
LESLY STEWART PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
215 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (574) 544-0101

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 Gina Gustafson's NPI number?

The NPI number for Gina Gustafson is 1700511193. It was assigned to this individual provider in the NPPES registry on July 19, 2022.

Where is Gina Gustafson located?

Gina Gustafson practices at 215 W 4th St, Mishawaka, IN 46544. The listed phone number is (574) 325-5961.

What is Gina Gustafson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Gina Gustafson was last updated on January 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.