KRISTIN TAYLOR GUSTAF PA
NPI 1740994466
Physician Assistant - Medical in Grand Rapids, MI

Active since January 09, 2023PECOS EnrolledAccepts Medicare Assignment
4100 EMBASSY DR SE, GRAND RAPIDS, MI 49546(616) 988-8225 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2026, Jan 9, 2023 (2 updates tracked since 2023).

About Kristin Taylor Gustaf Pa NPPES

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

KRISTIN TAYLOR GUSTAF PA (NPI 1740994466) is an individual medical provider in Grand Rapids, Michigan and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1740994466
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKRISTIN TAYLOR GUSTAFCredential: PA
Location Address4100 EMBASSY DR SEGrand Rapids, MI 49546-2416
Mailing Address4319 Redfield Ct SwGrandville, MI 49418-3056 · (616) 893-2684
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 9, 2023
Last NPPES UpdateJanuary 21, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
NPI 1740994466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
4100 EMBASSY DR SE, Grand Rapids, MI 49546

Other Identifiers 1

Medicaid5601011568MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kristin Taylor Gustaf Pa 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 ID3274905914
PECOS Enrollment IDI20230207001384
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
26 services26 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Corewell Health Pennock Hospital

Critical Access Hospitals · Hastings, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number231339
Location1009 W Green StHastings, MI 49058 · Barry County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 5

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

Physician Assistant
4100 EMBASSY DR SE, #400
GRAND RAPIDS, MI 49546
Physician Assistant
4100 EMBASSY DR SE, SUITE 200
GRAND RAPIDS, MI 49546
Physician Assistant (Medical)
4100 EMBASSY DR SE
GRAND RAPIDS, MI 49546
Emergency Medicine
4100 EMBASSY DR SE, SUITE 400
GRAND RAPIDS, MI 49546
Emergency Medicine
4100 EMBASSY DR SE, SUITE 400
GRAND RAPIDS, MI 49546

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 Kristin Gustaf's NPI number?

The NPI number for Kristin Gustaf is 1740994466. It was assigned to this individual provider in the NPPES registry on January 9, 2023.

Where is Kristin Gustaf located?

Kristin Gustaf practices at 4100 Embassy Dr SE, Grand Rapids, MI 49546. The listed phone number is (616) 988-8225.

What is Kristin Gustaf's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kristin Gustaf enrolled in Medicare?

Yes. Kristin Gustaf 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.

What insurance does Kristin Gustaf accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kristin Gustaf 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.

Is Kristin Gustaf affiliated with any hospitals?

According to CMS data, Kristin Gustaf is affiliated with Spectrum Health and Corewell Health Pennock Hospital.

When was this NPI record last updated?

The NPPES record for Kristin Gustaf was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.