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AUDREY C GUSTAFSON PA-C
NPI 1861060238
Physician Assistant - Surgical in Omaha, NE

Active since June 14, 2021PECOS Enrolled
8200 DODGE ST, OMAHA, NE 68114(402) 955-7400(402) 955-7405 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Audrey C Gustafson Pa-c NPPES

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

AUDREY C GUSTAFSON PA-C (NPI 1861060238) is an individual surgical provider in Omaha, Nebraska, licensed in Nebraska (2620) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861060238
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameAUDREY C GUSTAFSONCredential: PA-C
Location Address8200 DODGE STOmaha, NE 68114-4113
Mailing AddressPo Box 24607Omaha, NE 68124-0607 · (402) 955-5400 · Fax (402) 955-3674
Phone(402) 955-7400
Fax(402) 955-7405
Sole ProprietorNo
Enumeration DateJune 14, 2021
NPPES CertifiedJune 14, 2021
✔ NPI 1861060238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NE · 2620
8200 DODGE ST, Omaha, NE 68114
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Audrey C Gustafson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

CHILDRENS HOSPITAL & MEDICAL CENTER
Dietitian, Registered (Nutrition, Pediatric)
8200 DODGE ST
OMAHA, NE 68114
Douglas County (402) 955-5400
DR. AMANDA MARSHALL
Pediatrics (Pediatric Cardiology)
8200 DODGE ST
OMAHA, NE 68114
Douglas County (402) 955-2292
CLAYTON MOWRER D.O.
Internal Medicine
8200 DODGE ST
OMAHA, NE 68114
Douglas County (402) 955-4060
DR. QAIS ALLOAH MD
Pediatrics (Pediatric Cardiology)
8200 DODGE ST
OMAHA, NE 68114
Douglas County (402) 955-4350
CHILDREN'S SPECIALTY PHYSICIAN BILLING
Nurse Practitioner (Pediatrics)
8200 DODGE ST, CHILDREN'S HOSPITAL
OMAHA, NE 68114
Douglas County (402) 955-6928
MRS. SARAH ASHLEY CLEAVER APRN
Nurse Practitioner (Pediatrics)
8200 DODGE ST, CHILDREN'S HOSPITAL & MEDICAL CENTER - ED
OMAHA, NE 68114
Douglas County (402) 955-5150
JOHN D KUGLER M.D.
Pediatrics (Pediatric Cardiology)
8200 DODGE ST
OMAHA, NE 68114
Douglas County (402) 955-4350
MR. SCOTT S JAMES MD
Pediatrics (Pediatric Emergency Medicine)
8200 DODGE ST, CHILDREN'S HOSPITAL - EMERGENCY DEPARTMENT
OMAHA, NE 68114
Douglas County (402) 955-5150

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 Audrey Gustafson's NPI number?

The NPI number for Audrey Gustafson is 1861060238. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Where is Audrey Gustafson located?

Audrey Gustafson practices at 8200 Dodge St, Omaha, NE 68114. The listed phone number is (402) 955-7400.

What is Audrey Gustafson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Audrey Gustafson enrolled in Medicare?

Yes. Audrey Gustafson is registered in the Medicare PECOS enrollment system.

What insurance does Audrey Gustafson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 2 other insurers list Audrey 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 Audrey Gustafson was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.