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WILLIAM C GUSTAFSON D.C.
NPI 1760449664
Chiropractor in Coon Rapids, MN

Active since April 26, 2006
199 COON RAPIDS BLVD NW, SUITE 315, COON RAPIDS, MN 55433(763) 717-9510(763) 717-2988 Get Directions Write a Review

NPPES record last updated: August 20, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About William C Gustafson D.c. NPPES

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

WILLIAM C GUSTAFSON D.C. (NPI 1760449664) is an individual chiropractor in Coon Rapids, Minnesota, licensed in Minnesota (2782) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1760449664
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameWILLIAM C GUSTAFSONCredential: D.C.
Location Address199 COON RAPIDS BLVD NW, SUITE 315Coon Rapids, MN 55433-5831
Mailing Address199 Coon Rapids Blvd Nw, Suite 315Coon Rapids, MN 55433-5831 · (763) 717-9510 · Fax (763) 717-2988
Phone(763) 717-9510
Fax(763) 717-2988
Sole ProprietorNo
Enumeration DateApril 26, 2006
Last NPPES UpdateAugust 20, 2007
✔ NPI 1760449664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 2782
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
199 COON RAPIDS BLVD NW, Coon Rapids, MN 55433
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William C Gustafson D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

William C. Gustafson, D.C., P.A.
Same address
Chiropractor
199 COON RAPIDS BLVD, SUITE 315
Coon Rapids, MN 55433
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1548497340 (763) 717-9510

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 15

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

FAMILY STRENGTHS COUNSELING GROUP, LLC
Marriage & Family Therapist
199 COON RAPIDS BLVD NW, SUITE 210
COON RAPIDS, MN 55433
Anoka County (651) 214-2575
MR. GARY REX BEAVER M.A.
Psychologist
199 COON RAPIDS BLVD NW, SUITE 306
COON RAPIDS, MN 55433
Anoka County (763) 780-1520
ANNETTE MARIE LARSON M.A., L.P.C., LADC
Counselor (Mental Health)
199 COON RAPIDS BLVD NW, SUITE 310
COON RAPIDS, MN 55433
Anoka County (763) 785-8111
FAMILY BASED THERAPY ASSOCIATES
Counselor (Mental Health)
199 COON RAPIDS BLVD NW, SUITE 306
COON RAPIDS, MN 55433
Anoka County (763) 780-1520
MATTHEW LEE SUTERA
Counselor
199 COON RAPIDS BLVD NW, SUITE 306
COON RAPIDS, MN 55433
Anoka County (763) 780-1520
ADELLE DAIGLE-BJERKE CRNA
Nurse Anesthetist, Certified Registered
199 COON RAPIDS BLVD NW, SUITE 113
COON RAPIDS, MN 55433
Anoka County (763) 398-1163
MS. RUTH ANN ORMISTON LICSW
Counselor (Mental Health)
199 COON RAPIDS BLVD NW, SUITE 306
COON RAPIDS, MN 55433
Anoka County (763) 780-1520
JANET LEE ERICKSON LMFT
Marriage & Family Therapist
199 COON RAPIDS BLVD NW, SUITE 306
COON RAPIDS, MN 55433
Anoka County (763) 780-1520

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 William Gustafson's NPI number?

The NPI number for William Gustafson is 1760449664. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is William Gustafson located?

William Gustafson practices at 199 Coon Rapids Blvd NW Suite 315, Coon Rapids, MN 55433. The listed phone number is (763) 717-9510.

What is William Gustafson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is William Gustafson enrolled in Medicare?

Yes. William Gustafson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for William Gustafson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Gustafson reassigns Medicare benefits to William C. Gustafson, D.C., P.A. (Coon Rapids, MN). 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 William 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 William Gustafson was last updated on August 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.