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JESSICA ANN GUSTAFSON DC
NPI 1821828609
Chiropractor in Bentonville, AR

Active since August 06, 2024Accepts Medicare Assignment
1720 S WALTON BLVD STE 6, BENTONVILLE, AR 72712(479) 464-0834(479) 464-0836 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 8, 2025, Aug 6, 2024 (2 updates tracked since 2024).

About Jessica Ann Gustafson Dc NPPES

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

JESSICA ANN GUSTAFSON DC (NPI 1821828609) is an individual chiropractor in Bentonville, Arkansas, licensed in Arkansas (16312) and active in the NPI registry since August 2024. She is a graduate of Cleveland Chiropractic College - Kansas City (2019).

NPPES Registry Identity

NPI1821828609
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameJESSICA ANN GUSTAFSONCredential: DC
Location Address1720 S WALTON BLVD STE 6Bentonville, AR 72712-7533
Mailing Address1720 S Walton Blvd Ste 6Bentonville, AR 72712-7533 · (479) 464-0834 · Fax (479) 464-0836
Phone(479) 464-0834
Fax(479) 464-0836
Sole ProprietorYes
Medical School CMSCleveland Chiropractic College - Kansas CityGraduated 2019
Enumeration DateAugust 6, 2024
Last NPPES UpdateSeptember 8, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
✔ NPI 1821828609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AR · 16312
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.
Also ListedAcupuncturistTaxonomy 171100000X · License 16312 (AR)

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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

Jessica Ann Gustafson Dc 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 ID4183163769
PECOS Enrollment IDI20240827002829

Medicare Billing Reassignments

2

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

Invision Family Chiropractic, LLC
Chiropractor
1720 S WALTON BLVD STE 6
Bentonville, AR 72712
  • Reassigned Medicare billing, Arkansas enrollment
  • 3 clinicians in this Medicare group
NPI 1255758397 (479) 464-0834
The Farm Clinic
Chiropractor
1720 S WALTON BLVD, STE 6
Bentonville, AR 72712
  • Reassigned Medicare billing, Arkansas enrollment
  • 4 clinicians in this Medicare group
NPI 1982594008 (479) 464-0834

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 8

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

KAMRA ELIZABETH MAYS PH.D.
Psychologist (Clinical)
1720 S WALTON BLVD STE 6
BENTONVILLE, AR 72712
Benton County (870) 939-7606
DR. BETHANY ANNE GALIMORE D.C.
Chiropractor
1720 S WALTON BLVD STE 6
BENTONVILLE, AR 72712
Benton County (479) 464-0834
REILLY ROBERTS FNP
Nurse Practitioner (Family)
1720 S WALTON BLVD STE 6
BENTONVILLE, AR 72712
Benton County (479) 464-0834
INVISION FAMILY CHIROPRACTIC, LLC
Chiropractor
1720 S WALTON BLVD STE 6
BENTONVILLE, AR 72712
Benton County (479) 464-0834
KAYLA F EMERICK
Physician Assistant
1720 S WALTON BLVD STE 6
BENTONVILLE, AR 72712
Benton County (479) 464-0834
KAMRA ELIZABETH MAYS, PHD, PLLC
Psychologist
1720 S WALTON BLVD STE 6
BENTONVILLE, AR 72712
Benton County (870) 939-7606
DR. TRACIE BYRNE DC
Chiropractor
1720 S WALTON BLVD STE 6
BENTONVILLE, AR 72712
Benton County (479) 464-0834
MELANIE GARTSIDE D.C.
Chiropractor
1720 S WALTON BLVD STE 6
BENTONVILLE, AR 72712
Benton County (479) 464-0834

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 Jessica Gustafson's NPI number?

The NPI number for Jessica Gustafson is 1821828609. It was assigned to this individual provider in the NPPES registry on August 6, 2024.

Where is Jessica Gustafson located?

Jessica Gustafson practices at 1720 S Walton Blvd Ste 6, Bentonville, AR 72712. The listed phone number is (479) 464-0834.

What is Jessica Gustafson's specialty?

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

Is Jessica Gustafson enrolled in Medicare?

Yes. Jessica 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 Jessica Gustafson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Gustafson reassigns Medicare benefits to 2 organizations: Invision Family Chiropractic, LLC (Bentonville, AR) and The Farm Clinic (Bentonville, AR). 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 Jessica Gustafson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Gustafson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Jessica 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 Jessica Gustafson was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.