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MS. ANN MARIE GUSTAFSON-LARSON RN, CNP
NPI 1952420333
Nurse Practitioner - Adult Health in St Cloud, MN

Active since March 28, 2007PECOS EnrolledAccepts Medicare Assignment
1900 CENTRA CARE CIRCLE #2500, CENTRA CARE CLINIC HEALTH PLAZA / ENDOCRINOLOGY, ST CLOUD, MN 56303(320) 229-5000 Get Directions Write a Review

NPPES record last updated: September 11, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ms. Ann Marie Gustafson-larson Rn, Cnp NPPES

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

MS. ANN MARIE GUSTAFSON-LARSON RN, CNP (NPI 1952420333) is an individual adult health provider in St Cloud, Minnesota, licensed in Minnesota (R-103319-9) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1952420333
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. ANN MARIE GUSTAFSON-LARSONCredential: RN, CNP
Location Address1900 CENTRA CARE CIRCLE #2500, CENTRA CARE CLINIC HEALTH PLAZA / ENDOCRINOLOGYSt Cloud, MN 56303-5000
Mailing Address1900 Centra Care Circle #2500, Centra Care Clinic Health Plaza / EndocrinologySt Cloud, MN 56303-5000 · (320) 229-5000 · Fax (763) 689-7878
Phone(320) 229-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 28, 2007
Last NPPES UpdateSeptember 11, 2012
✔ NPI 1952420333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MN · R-103319-9
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 1134 (MN)
1900 CENTRA CARE CIRCLE #2500, St Cloud, MN 56303
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Other Names 1

Former Name (1)Ms. Ann Marie Gustafson

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan.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

Ms. Ann Marie Gustafson-larson Rn, Cnp 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 ID3173774312
PECOS Enrollment IDI20121115000302
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 4

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.

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
147 services60 patients
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.
99 services62 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
80 services47 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56303 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
7 suppliers25 claims316 services$18.68 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
7 suppliers26 claims781 services$2.33 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers57 claims160 services$6.46 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
3 suppliers21 claims21 services$299.00 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
9 suppliers37 claims4,200 services$7.24 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
23 suppliers469 claims469 services$182.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Ann Gustafson-larson's NPI number?

The NPI number for Ann Gustafson-larson is 1952420333. It was assigned to this individual provider in the NPPES registry on March 28, 2007. The provider is also known as Ms. Ann Marie Gustafson.

Where is Ann Gustafson-larson located?

Ann Gustafson-larson practices at 1900 Centra Care Circle #2500 Centra Care Clinic Health Plaza / Endocrinology, St Cloud, MN 56303. The listed phone number is (320) 229-5000.

What is Ann Gustafson-larson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Ann Gustafson-larson enrolled in Medicare?

Yes. Ann Gustafson-larson 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 Ann Gustafson-larson accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Ann Gustafson-larson 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 Ann Gustafson-larson was last updated on September 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.