Anysha Gustafson, FNP-C in Farmington, NM - Medicare Nurse Practitioner

Anysha Gustafson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Farmington, New Mexico. Her current practice location is 656 W Maple St, Farmington, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 609-2290.

Anysha Gustafson is licensed to practice in New Mexico (license number 77089) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1497523963.

Contact Information

	Anysha Gustafson, FNP-C
	656 W Maple St, Farmington, NM 87401-5968
	(505) 609-2290
	Not Available

Map and Direction

Provider's Profile

Full Name	Anysha Gustafson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	656 W Maple St, Farmington, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497523963
Provider Enumeration Date: 12/14/2023
Last Update Date: 11/08/2024

Medicare PECOS Information:

PECOS PAC ID: 5092165613
Enrollment ID: I20231222001254

Medical Identifiers

Medical identifiers for Anysha Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497523963	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	77089 (New Mexico)	Primary

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. Anysha Gustafson allows following entities to bill medicare on her behalf.

Entity Name	San Juan Regional Medical Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639662901 PECOS PAC ID: 4587559505 Enrollment ID: O20040218000865

Entity Name	Bloom New Mexico Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750942207 PECOS PAC ID: 8729417266 Enrollment ID: O20200403000508

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. Anysha Gustafson 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
Anysha Gustafson, FNP-C Po Box 844088, Dallas, TX 75284-4088 Ph: (505) 609-2258	Anysha Gustafson, FNP-C 656 W Maple St, Farmington, NM 87401-5968 Ph: (505) 609-2290

Reviews and Comments

Nurse Practitioner Nurses in Farmington, NM

Erin Tinker, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 407 S Schwartz Ave Ste 102, Farmington, NM 87401 Phone: 505-609-6700 Fax: 505-609-6700
Jennifer Lizabeth Manganello, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 407 S Schwartz Ave, Suite 101, Farmington, NM 87401 Phone: 505-609-6770 Fax: 505-609-6775
Anariza Grush, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 W Broadway, Farmington, NM 87401 Phone: 505-327-4796
Bethany Lynn Jones, AGPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 W Broadway, Farmington, NM 87401 Phone: 505-327-4796 Fax: 505-599-9351
Shailah Bevan, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1001 W Broadway Ste D&e, Farmington, NM 87401 Phone: 505-327-4796 Fax: 505-443-8335
Jovite A Larroy, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 W Broadway Ste E, Farmington, NM 87401 Phone: 505-327-4796
Clay Church, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000

Anysha Gustafson, FNP-C - Medicare Nurse Practitioner in Farmington, NM