MICHELLE LEE GUSTAFSON MSW, LICSW
NPI 1700823952
Social Worker - Clinical in Mpls, MN
About Michelle Lee Gustafson Msw, Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELLE LEE GUSTAFSON MSW, LICSW (NPI 1700823952) is an individual clinical provider in Mpls, Minnesota, licensed in Minnesota (10595) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1993).
NPPES Registry Identity
Specialties & Licenses
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
Michelle Lee Gustafson Msw, Licsw 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
4Medicare enrollment records show Michelle Gustafson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Hibbing, MN 55746
- Reassigned Medicare billing, Minnesota enrollment
- 707 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Michelle Gustafson's NPI number?
The NPI number for Michelle Gustafson is 1700823952. It was assigned to this individual provider in the NPPES registry on May 31, 2006.
Where is Michelle Gustafson located?
Michelle Gustafson practices at Fairview University Hospital 2450 Riverside Avenue South, Mpls, MN 55454. The listed phone number is (612) 273-5640.
What is Michelle Gustafson's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Michelle Gustafson enrolled in Medicare?
Yes. Michelle 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 Michelle Gustafson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Gustafson reassigns Medicare benefits to 4 organizations: Fairview Express Care (Minneapolis, MN), Fairview Health Services (Minneapolis, MN), Fairview Specialty Services (Minneapolis, MN) and Range Regional Health Services (Hibbing, 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 Michelle Gustafson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Michelle Gustafson was last updated on January 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Michelle Lee Gustafson, MSW, LICSW · NPI 1700823952
Clinical provider in Mpls, Minnesota. Individual provider, active in the CMS NPPES registry since May 31, 2006.
## Identity
- **NPI:** 1700823952 (Entity type: Individual)
- **Enumerated:** May 31, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 10595 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** FAIRVIEW UNIVERSITY HOSPITAL, 2450 RIVERSIDE AVENUE SOUTH, Mpls, MN 55454
- **Phone:** (612) 273-5640
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1841428745, Minneapolis, MN); Fairview Health Services (NPI 1316008212, Minneapolis, MN); Fairview Specialty Services (NPI 1043199334, Minneapolis, MN); Range Regional Health Services (NPI 1356321699, Hibbing, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** January 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1700823952) · Data from the CMS NPPES public registry.