MARGARET GUSTAFSON ARNP
NPI 1821540915
Nurse Practitioner - Family in Monroe, WA

Q: What is Margaret Gustafson's NPI number?

The NPI number for Margaret Gustafson is 1821540915. It was assigned to this individual provider in the NPPES registry on October 25, 2016.

Q: What is Margaret Gustafson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since October 25, 2016PECOS EnrolledAccepts Medicare Assignment

19200 N KELSEY ST, MONROE, WA 98272(360) 794-7994 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 25, 2021, Feb 10, 2017, Oct 25, 2016 (3 updates tracked since 2016).

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About Margaret Gustafson Arnp NPPES

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

MARGARET GUSTAFSON ARNP (NPI 1821540915) is an individual family provider in Monroe, Washington, licensed in Washington (AP60667218) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1821540915

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARGARET GUSTAFSONCredential: ARNP

Location Address19200 N KELSEY STMonroe, WA 98272-1431

Mailing AddressPo Box 3360Portland, OR 97208-3360

Phone(360) 794-7994

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateOctober 25, 2016

Last NPPES UpdateMay 25, 20213 updates tracked since enumeration

NPPES CertifiedMay 25, 2021

✔ NPI 1821540915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WA · AP60667218

19200 N KELSEY ST, Monroe, WA 98272

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Margaret Gustafson Arnp 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 ID3678852621

PECOS Enrollment IDI20161114002377

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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

200 services111 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

65 services47 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

31 services31 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

28 services23 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

20 services11 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

St Joseph Hospital

Acute Care Hospitals · Bellingham, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number500030

Location2901 Squalicum ParkwayBellingham, WA 98225 · Whatcom County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98272 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

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 20

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

A CHANCELLOR PELL PA-C

Physician Assistant