Kim D Gustafson, NP - Medicare Nurse Practitioner in Houston, TX

Kim D Gustafson, NP is a medicare enrolled "Nurse Practitioner - Women's Health" in Houston, Texas. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Advanced Women's Wellness, Pllc and her current practice location is 18300 Katy Fwy, Suite 315, Houston, Texas. You can reach out to her office (for appointments etc.) via phone at (713) 464-2100.

Kim D Gustafson is licensed to practice in Texas (license number 620019) 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 1164896056.

Contact Information

Kim D Gustafson, NP
18300 Katy Fwy, Suite 315,
Houston, TX 77094-1385
(713) 464-2100
(281) 392-7911

Map and Direction




Provider's Profile

Full NameKim D Gustafson
GenderFemale
SpecialityNurse Practitioner
Experience19 Years
Location18300 Katy Fwy, Houston, Texas
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kim D Gustafson graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1164896056
  • Provider Enumeration Date: 11/16/2015
  • Last Update Date: 11/16/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4688086036
  • Enrollment ID: I20201209001664

Medical Identifiers

Medical identifiers for Kim D Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164896056NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LW0102XNurse Practitioner - Women's Health 620019 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hermann Katy HospitalKaty, TXHospital
Memorial Hermann Memorial City HospitalHouston, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advanced Women's Wellness, Pllc15576588873

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. Kim D Gustafson allows following entities to bill medicare on her behalf.
Entity NameMaria Milian Sobarzo Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609018506
PECOS PAC ID: 3678630985
Enrollment ID: O20090331000310
Entity NameAdvanced Women's Wellness, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609018506
PECOS PAC ID: 1557658887
Enrollment ID: O20160929001361

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. Kim D 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 AddressPractice Location Address
Kim D Gustafson, NP
18300 Katy Fwy, Suite 315,
Houston, TX 77094-1385

Ph: (713) 464-2100
Kim D Gustafson, NP
18300 Katy Fwy, Suite 315,
Houston, TX 77094-1385

Ph: (713) 464-2100

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.