THOMAS GERALD KUSTRA APN
NPI 1861080343
Nurse Practitioner - Psychiatric/Mental Health in Knoxville, TN

Active since January 09, 2021PECOS EnrolledAccepts Medicare Assignment
1451 DOWELL SPRINGS BLVD, KNOXVILLE, TN 37909(865) 970-9800 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 22, 2021, Jan 9, 2021 (2 updates tracked since 2021).

About Thomas Gerald Kustra Apn NPPES

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

THOMAS GERALD KUSTRA APN (NPI 1861080343) is an individual psychiatric/mental health provider in Knoxville, Tennessee, licensed in Tennessee (28758) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2020).

NPPES Registry Identity

NPI1861080343
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameTHOMAS GERALD KUSTRACredential: APN
Location Address1451 DOWELL SPRINGS BLVDKnoxville, TN 37909-2441
Mailing Address1451 Dowell Springs BlvdKnoxville, TN 37909-2441 · (865) 970-9800
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2020
Enumeration DateJanuary 9, 2021
Last NPPES UpdateJanuary 22, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2021
NPI 1861080343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in TN · 28758
Also ListedRegistered NurseTaxonomy 163W00000X · License 247954 (TN)
1451 DOWELL SPRINGS BLVD, Knoxville, TN 37909

Accepted 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

Thomas Gerald Kustra Apn 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 ID42626483
PECOS Enrollment IDI20210309001778
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

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.
18 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37909 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Nurse Practitioner (Psychiatric/Mental Health)
1451 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909
Counselor
1451 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909
Counselor
1451 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909
Counselor (Mental Health)
1451 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909
Counselor (Mental Health)
1451 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909
Counselor (Mental Health)
1451 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909
Counselor (Mental Health)
1451 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909
Nurse Practitioner (Psychiatric/Mental Health)
1451 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909

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 Thomas Kustra's NPI number?

The NPI number for Thomas Kustra is 1861080343. It was assigned to this individual provider in the NPPES registry on January 9, 2021.

Where is Thomas Kustra located?

Thomas Kustra practices at 1451 Dowell Springs Blvd, Knoxville, TN 37909. The listed phone number is (865) 970-9800.

What is Thomas Kustra's specialty?

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

Is Thomas Kustra enrolled in Medicare?

Yes. Thomas Kustra 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.

What insurance does Thomas Kustra accept?

Health plans from BlueCross BlueShield of Tennessee and Oscar Insurance Company list Thomas Kustra 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 Thomas Kustra was last updated on January 22, 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.