Ms Ann Marie Gustafson-larson, RN, CNP is a medicare enrolled "Nurse Practitioner - Adult Health" provider in St Cloud, Minnesota. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Centracare Clinic and her current practice location is
1900 Centra Care Circle #2500, Centra Care Clinic Health Plaza / Endocrinology, St Cloud, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 229-5000.
Ms Ann Marie Gustafson-larson is licensed to practice in Minnesota (license number R-103319-9) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1952420333.
Healthcare Provider's Profile
| Full Name | Ms Ann Marie Gustafson-larson |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 12 Years |
|---|
| Location | 1900 Centra Care Circle #2500, St Cloud, Minnesota |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Ms Ann Marie Gustafson-larson graduated from medical school in 2012
NPI Data:
- NPI Number: 1952420333
- Provider Enumeration Date: 03/28/2007
- Last Update Date: 09/11/2012
Medicare PECOS Information:
- PECOS PAC ID: 3173774312
- Enrollment ID: I20121115000302
Medical Identifiers
Medical identifiers for Ms Ann Marie Gustafson-larson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952420333 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 1134 (Minnesota) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | R-103319-9 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Centracare Clinic | 2466363395 | 632 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Ann Marie Gustafson-larson allows following entities to bill medicare on her behalf.
| Provider Name | Centracare Clinic |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1043212665
PECOS PAC ID: 2466363395
Enrollment ID: O20031105000293 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Ann Marie Gustafson-larson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Ann Marie Gustafson-larson, RN, CNP
1900 Centra Care Circle #2500, Centra Care Clinic Health Plaza / Endocrinology,
St Cloud, MN 56303-5000
Ph: (320) 229-5000 | Ms Ann Marie Gustafson-larson, RN, CNP
1900 Centra Care Circle #2500, Centra Care Clinic Health Plaza / Endocrinology,
St Cloud, MN 56303-5000
Ph: (320) 229-5000 |
Reviews and Comments