JAMIE LYNN GUSTAFSON PMHNP-BC
NPI 1780335109
Nurse Practitioner - Psychiatric/Mental Health in Chandler, AZ

Active since January 18, 2022Opted out of Medicare · through Apr 1, 2028
312 N ALMA SCHOOL RD, CHANDLER, AZ 85224(602) 762-8142 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jamie Lynn Gustafson Pmhnp-bc NPPES

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

JAMIE LYNN GUSTAFSON PMHNP-BC (NPI 1780335109) is an individual psychiatric/mental health provider in Chandler, Arizona, licensed in Arizona (268837) and active in the NPI registry since January 2022. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1780335109
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJAMIE LYNN GUSTAFSONCredential: PMHNP-BC
Location Address312 N ALMA SCHOOL RDChandler, AZ 85224-4354
Mailing Address312 N Alma School RdChandler, AZ 85224-4354
Sole ProprietorNo
Enumeration DateJanuary 18, 2022
NPPES CertifiedJanuary 17, 2022
NPI 1780335109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in AZ · 268837
312 N ALMA SCHOOL RD, Chandler, AZ 85224

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jamie Lynn Gustafson Pmhnp-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Dermatology
312 N ALMA SCHOOL RD, SUITE 5
CHANDLER, AZ 85224
Clinic/Center (Dental)
312 N ALMA SCHOOL RD, SUITE 22
CHANDLER, AZ 85224
Chiropractor
312 N ALMA SCHOOL RD, SUITE 18
CHANDLER, AZ 85224
Chiropractor
312 N ALMA SCHOOL RD, SUITE 19
CHANDLER, AZ 85224
Hospice Care, Community Based
312 N ALMA SCHOOL RD, SUITE 11
CHANDLER, AZ 85224
Naturopath
312 N ALMA SCHOOL RD, SUITE 18
CHANDLER, AZ 85224
Chiropractor
312 N ALMA SCHOOL RD, SUITE 19
CHANDLER, AZ 85224
Nurse Practitioner (Obstetrics & Gynecology)
312 N ALMA SCHOOL RD, SUITE 9C
CHANDLER, AZ 85224

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 Jamie Gustafson's NPI number?

The NPI number for Jamie Gustafson is 1780335109. It was assigned to this individual provider in the NPPES registry on January 18, 2022.

Where is Jamie Gustafson located?

Jamie Gustafson practices at 312 N Alma School Rd, Chandler, AZ 85224. The listed phone number is (602) 762-8142.

What is Jamie Gustafson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jamie Gustafson enrolled in Medicare?

No. Jamie Gustafson has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jamie Gustafson accept?

Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list Jamie 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 Jamie Gustafson was last updated on January 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.