Holly Gustafson, ANP in Fort Collins, CO - Medicare Nurse Practitioner

Holly Gustafson, ANP is a medicare enrolled "Nurse Practitioner - Family" in Fort Collins, Colorado. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Family Clinic Of Fort Collins and her current practice location is 1124 E Elizabeth St Ste C, Fort Collins, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 484-0798.

Holly Gustafson is licensed to practice in Colorado (license number 0990927-NP) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1396173886.

Contact Information

	Holly Gustafson, ANP
	1124 E Elizabeth St Ste C, Fort Collins, CO 80524-4051
	(970) 484-0798
	(970) 482-0679

Map and Direction

Provider's Profile

Full Name	Holly Gustafson
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	1124 E Elizabeth St Ste C, Fort Collins, Colorado
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Holly Gustafson graduated from nursing school in 2013

NPI Data:

NPI Number: 1396173886
Provider Enumeration Date: 10/22/2013
Last Update Date: 04/12/2017

Medicare PECOS Information:

PECOS PAC ID: 4082938022
Enrollment ID: I20150121001540

Medical Identifiers

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

Identifier	Type	State	Issuer
1396173886	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0990927-NP (Colorado)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Poudre Valley Hospital	Fort collins, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Family Clinic Of Fort Collins	5890684179	7

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

Entity Name	The Family Clinic Of Fort Collins
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770671497 PECOS PAC ID: 5890684179 Enrollment ID: O20040313000760

Entity Name	Rocky Mountain Family Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215054259 PECOS PAC ID: 2466343280 Enrollment ID: O20040322001625

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. Holly 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
Holly Gustafson, ANP 1124 E Elizabeth St Ste C, Fort Collins, CO 80524-4051 Ph: (970) 484-0798	Holly Gustafson, ANP 1124 E Elizabeth St Ste C, Fort Collins, CO 80524-4051 Ph: (970) 484-0798

Reviews and Comments

Nurse Practitioner Nurses in Fort Collins, CO

Casey Marie Weller, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-7000 Fax: 303-306-7753
Meghan Elizabeth Vertovec, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1525 Blue Spruce Dr, Fort Collins, CO 80524 Phone: 970-498-6807
Coreen Herron, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1136 E Stuart St Ste 4101, Fort Collins, CO 80525 Phone: 970-670-0913
Ms. Joyce C Honea, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2127 E Harmony Rd, Ste 140, Fort Collins, CO 80528 Phone: 970-297-6250 Fax: 970-297-6260
Katy Pfiffner, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2014 Caribou Dr, Fort Collins, CO 80525 Phone: 970-221-1681
Ms. Lindsay A Bell, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 E Prospect Rd, Fort Collins, CO 80525 Phone: 970-493-0112 Fax: 970-493-1794
Mrs. Nancy Marie Reges, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2025 Bighorn Rd, Fort Collins, CO 80525 Phone: 970-229-9800 Fax: 970-229-1421

Holly Gustafson, ANP - Medicare Nurse Practitioner in Fort Collins, CO