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AMY MARIE GUSTAFSON
NPI 1770301368
Social Worker - Clinical in Rockford, IL

Active since October 01, 2024PECOS EnrolledAccepts Medicare Assignment
4320 SPRING CREEK RD STE 15, ROCKFORD, IL 61107(815) 914-0047 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Amy Marie Gustafson NPPES

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

AMY MARIE GUSTAFSON (NPI 1770301368) is an individual clinical provider in Rockford, Illinois, licensed in Illinois (149027733) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1770301368
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMY MARIE GUSTAFSON
Location Address4320 SPRING CREEK RD STE 15Rockford, IL 61107-1157
Mailing Address4320 Spring Creek Rd Ste 15Rockford, IL 61107-1157 · (815) 914-0047
Phone(815) 914-0047
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 1, 2024
NPPES CertifiedOctober 1, 2024
✔ NPI 1770301368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149027733
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4320 SPRING CREEK RD STE 15, Rockford, IL 61107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Dean Health Plan, Oscar Health, Quartz.Insurance ›

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

Amy Marie Gustafson 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 ID3577083146
PECOS Enrollment IDI20250226001162
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Amy Gustafson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Elizabeth Lawson Lcsw PLLC
Same address
Clinical
4320 SPRING CREEK RD STE 16
Rockford, IL 61107
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
NPI 1851170401 (815) 978-7705
Alternative Wellness Therapies PLLC
5.5 mi
Professional
9950 N ALPINE RD STE 103
Machesney Park, IL 61115
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
NPI 1144802794 (815) 200-6444

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 61107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

MEGAN OLEJNIK LCSW
Social Worker (Clinical)
4320 SPRING CREEK RD STE 15
ROCKFORD, IL 61107
Winnebago County (815) 670-7965
MCO COUNSELING SERVICES LLC
Social Worker (Clinical)
4320 SPRING CREEK RD STE 15
ROCKFORD, IL 61107
Winnebago County (815) 670-7965

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 Amy Gustafson's NPI number?

The NPI number for Amy Gustafson is 1770301368. It was assigned to this individual provider in the NPPES registry on October 1, 2024.

Where is Amy Gustafson located?

Amy Gustafson practices at 4320 Spring Creek Rd Ste 15, Rockford, IL 61107. The listed phone number is (815) 914-0047.

What is Amy Gustafson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Amy Gustafson enrolled in Medicare?

Yes. Amy 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 Amy Gustafson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Gustafson reassigns Medicare benefits to 2 organizations: Elizabeth Lawson Lcsw PLLC (Rockford, IL) and Alternative Wellness Therapies PLLC (Machesney Park, IL). 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 Amy Gustafson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Gustafson accept?

Health plans from Dean Health Plan, Oscar Health and Quartz list Amy Gustafson 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.

When was this NPI record last updated?

The NPPES record for Amy Gustafson was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.