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ERIC MATTHEW GUSTAFSON
NPI 1942154265
Nurse Practitioner - Family in Fairbanks, AK

Active since February 24, 2026PECOS EnrolledAccepts Medicare Assignment
1001 NOBLE ST, FAIRBANKS, AK 99701(907) 459-3511(907) 459-3588 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eric Matthew Gustafson NPPES

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

ERIC MATTHEW GUSTAFSON (NPI 1942154265) is an individual family provider in Fairbanks, Alaska, licensed in Alaska (249869) and active in the NPI registry since February 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1942154265
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameERIC MATTHEW GUSTAFSON
Location Address1001 NOBLE STFairbanks, AK 99701-4948
Mailing AddressPo Box 73720Fairbanks, AK 99707-3720
Phone(907) 459-3511
Fax(907) 459-3588
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 24, 2026
NPPES CertifiedFebruary 24, 2026
✔ NPI 1942154265 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 AK · 249869
1001 NOBLE ST, Fairbanks, AK 99701
Open in Google Maps ↗

Accepted Insurance

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

Eric Matthew Gustafson 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 ID840765137
PECOS Enrollment IDI20260403002612
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.

Medicare Billing Reassignment

Medicare enrollment records show Eric Gustafson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tanana Valley Clinic LLC
Same address
Multi-Specialty
1001 NOBLE ST
Fairbanks, AK 99701
  • Reassigned Medicare billing, Alaska enrollment
  • 172 clinicians in this Medicare group
NPI 1922559558 (907) 459-3500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99701 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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.

DR. JENNIFER RIBAR D.O.
Neuromusculoskeletal Medicine & OMM
1001 NOBLE ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-3500
DR. JAMES TIMOTHY FOOTE M.D.
Allergy & Immunology
1001 NOBLE ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-3520
TATIANA CARLIN OLSON PA-C
Physician Assistant (Medical)
1001 NOBLE ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 458-2682
DR. MARVIN BERGESON M.D.
Pediatrics
1001 NOBLE ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-3520
DR. MATTHEW WARD RAYMOND D.O.
Preventive Medicine (Occupational Medicine)
1001 NOBLE ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-3500
DR. ERIC L SCHNEIDER DO
Family Medicine
1001 NOBLE ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-3500
TANANA VALLEY CLINIC
Durable Medical Equipment & Medical Supplies
1001 NOBLE ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-3500
SHELBY A BRAUN MS, RDN, LD
Dietitian, Registered
1001 NOBLE ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-3500

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 Eric Gustafson's NPI number?

The NPI number for Eric Gustafson is 1942154265. It was assigned to this individual provider in the NPPES registry on February 24, 2026.

Where is Eric Gustafson located?

Eric Gustafson practices at 1001 Noble St, Fairbanks, AK 99701. The listed phone number is (907) 459-3511.

What is Eric Gustafson's specialty?

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

Is Eric Gustafson enrolled in Medicare?

Yes. Eric 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 organization bills Medicare for Eric Gustafson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Gustafson reassigns Medicare benefits to Tanana Valley Clinic LLC (Fairbanks, AK). The 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 Eric Gustafson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eric Gustafson accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Eric 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 Eric Gustafson was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.