SHELBY ANN GUSTIN PA-C
NPI 1831875426
Physician Assistant in Bellevue, NE

Q: What is Shelby Gustin's NPI number?

The NPI number for Shelby Gustin is 1831875426. It was assigned to this individual provider in the NPPES registry on June 27, 2023. The provider is also known as Shelby Ann Bonnemier.

Q: What is Shelby Gustin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Shelby Gustin was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since June 27, 2023PECOS EnrolledAccepts Medicare Assignment

3308 SAMSON WAY STE 101, BELLEVUE, NE 68123(402) 291-3373 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shelby Ann Gustin Pa-c NPPES

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

SHELBY ANN GUSTIN PA-C (NPI 1831875426) is an individual physician assistant in Bellevue, Nebraska, licensed in Nebraska (3194) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Chi Health Bergan Mercy, and maintains a secondary practice location in Council Bluffs.

NPPES Registry Identity

NPI1831875426

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSHELBY ANN GUSTINCredential: PA-C

Location Address3308 SAMSON WAY STE 101Bellevue, NE 68123-3235

Mailing Address7261 Mercy RdOmaha, NE 68124-2311

Phone(402) 291-3373

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 27, 2023

Last NPPES UpdateMarch 13, 2025

NPPES CertifiedMarch 13, 2025

✔ NPI 1831875426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in NE · 3194✔ Licensed in IA · 129662

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3308 SAMSON WAY STE 101, Bellevue, NE 68123

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Other Names 1

Former Name (1)Shelby Ann Bonnemier

Secondary Practice Location 1

Location 11288 Valley View DrCouncil Bluffs, IA 51503-5245 · Phone (712) 328-8800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company.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

Shelby Ann Gustin Pa-c 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 ID5092238386

PECOS Enrollment IDI20250327001217, I20250327001279

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.

Hospital Affiliations CMS Care Compare

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

Chi Health Bergan Mercy

Acute Care Hospitals · Omaha, NE

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280060

Location7500 Mercy RdOmaha, NE 68124 · Douglas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68123 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

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$66.00 typical visit price

range $16.90 – $131.25

Typical copayment $16.50 (range $4.22 – $32.81)

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 6

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

LATOYA N BONAM APRN

Nurse Practitioner