GREGORY ROBERT GUSTAVSON APRN
NPI 1770418030
Nurse Practitioner - Acute Care in Willimantic, CT
About Gregory Robert Gustavson Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREGORY ROBERT GUSTAVSON APRN (NPI 1770418030) is an individual acute care provider in Willimantic, Connecticut, licensed in Connecticut (92342) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gregory Robert Gustavson Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WILLIMANTIC, CT 06226
WILLIMANTIC, CT 06226
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 Gregory Gustavson's NPI number?
The NPI number for Gregory Gustavson is 1770418030. It was assigned to this individual provider in the NPPES registry on June 16, 2026. The provider is also known as Greg Robert Gustavson Aprn.
Where is Gregory Gustavson located?
Gregory Gustavson practices at 112 Mansfield Ave, Willimantic, CT 06226. The listed phone number is (860) 456-9116.
What is Gregory Gustavson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Gregory Gustavson enrolled in Medicare?
Yes. Gregory Gustavson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Gregory Gustavson was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.
# Gregory Robert Gustavson, APRN · NPI 1770418030
Acute Care physician in Willimantic, Connecticut. Individual provider, active in the CMS NPPES registry since June 16, 2026.
## Identity
- **NPI:** 1770418030 (Entity type: Individual)
- **Enumerated:** June 16, 2026
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 92342 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 112 MANSFIELD AVE, Willimantic, CT 06226-2040
- **Phone:** (860) 456-9116
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1770418030) · Data from the CMS NPPES public registry.