Katelyn C Gustafson, NP in Norton Shores, MI - Medicare Nurse Practitioner

Katelyn C Gustafson, NP is a medicare enrolled "Nurse Practitioner" in Norton Shores, Michigan. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Indiana University Health Care Associates Inc and her current practice location is 6401 Prairie St Ste 1700, Norton Shores, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 727-7944.

Katelyn C Gustafson is licensed to practice in Michigan (license number 4704373177) 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 1912454455.

Contact Information

	Katelyn C Gustafson, NP
	6401 Prairie St Ste 1700, Norton Shores, MI 49444-7843
	(231) 727-7944
	(231) 724-7812

Map and Direction

Provider's Profile

Full Name	Katelyn C Gustafson
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	6401 Prairie St Ste 1700, Norton Shores, Michigan
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:

Katelyn C Gustafson graduated from nursing school in 2016

NPI Data:

NPI Number: 1912454455
Provider Enumeration Date: 09/01/2016
Last Update Date: 01/25/2023

Medicare PECOS Information:

PECOS PAC ID: 2466732094
Enrollment ID: I20230130000362

Medical Identifiers

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

Identifier	Type	State	Issuer
1912454455	NPI	-	NPPES
1912454455	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	5008868 (North Carolina)	Secondary
363LX0001X	Nurse Practitioner - Obstetrics & Gynecology	71013513A (Indiana)	Secondary
363L00000X	Nurse Practitioner	4704373177 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Indiana University Health	Indianapolis, IN	Hospital
Indiana University Health North Hospital	Carmel, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Indiana University Health Care Associates Inc	5799755864	905

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. Katelyn C Gustafson allows following entities to bill medicare on her behalf.

Entity Name	Indiana University Health Care Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955

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. Katelyn C 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
Katelyn C Gustafson, NP 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Katelyn C Gustafson, NP 6401 Prairie St Ste 1700, Norton Shores, MI 49444-7843 Ph: (231) 727-7944

Reviews and Comments

Nurse Practitioner Nurses in Norton Shores, MI

Ms. Charlotte Rose Tatangelo, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6425 S Harvey St, Norton Shores, MI 49444 Phone: 231-737-3469 Fax: 231-737-4548
Leslie S Wooldridge, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6401 Prairie St, Suite 1700, Norton Shores, MI 49444 Phone: 231-727-7944 Fax: 231-724-7812
Alicia A Gappa, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3570 Henry St Ste 120, Norton Shores, MI 49441 Phone: 231-672-7000
Michelle J Bray, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5933 Grand Haven Rd, Norton Shores, MI 49441 Phone: 231-799-3300
Madison Niederer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6425 Harvey St, Norton Shores, MI 49444 Phone: 231-737-3469
Jennifer Marie Lake, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3611 Henry St, Norton Shores, MI 49441 Phone: 616-952-9957
Darci Samuel, FNP-C, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2177 Forest Park Rd, Norton Shores, MI 49441 Phone: 269-286-2025

Katelyn C Gustafson, NP - Medicare Nurse Practitioner in Norton Shores, MI