Ms Mallory Lynn Gustin, APRN, CNP - Medicare Nurse Practitioner in Annandale, MN

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Ms Mallory Lynn Gustin, APRN, CNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Annandale, Minnesota. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Stellis Health Pa, Novacare Outpatient Rehabilitation East Inc, Allina Health System and her current practice location is 440 Elm St E, Annandale, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 274-3744.

Ms Mallory Lynn Gustin is licensed to practice in Minnesota (license number CNP 3741) 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 1437542016.

Contact Information

Ms Mallory Lynn Gustin, APRN, CNP
440 Elm St E,
Annandale, MN 55302-1109
(320) 274-3744
(320) 274-8194

Map and Direction




Provider's Profile

Full NameMs Mallory Lynn Gustin
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location440 Elm St E, Annandale, Minnesota
Accepts Medicare AssignmentsYes. 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 Mallory Lynn Gustin graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1437542016
  • Provider Enumeration Date: 03/06/2015
  • Last Update Date: 06/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1456670066
  • Enrollment ID: I20150504001004

Medical Identifiers

Medical identifiers for Ms Mallory Lynn Gustin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437542016NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology CNP 3741 (Minnesota)Secondary
363LA2200XNurse Practitioner - Adult Health CNP 3741 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Centracare Health - MonticelloMonticello, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Stellis Health Pa115323379657
Novacare Outpatient Rehabilitation East Inc3678480290666
Allina Health System45875736133101

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 Mallory Lynn Gustin allows following entities to bill medicare on her behalf.
Entity NameStellis Health Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184664674
PECOS PAC ID: 1153233796
Enrollment ID: O20031103000458
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457657249
PECOS PAC ID: 4587573613
Enrollment ID: O20221213001713

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 Mallory Lynn Gustin 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
Ms Mallory Lynn Gustin, APRN, CNP
2925 Chicago Ave,
Minneapolis, MN 55407-1321

Ph: (612) 262-9000		Ms Mallory Lynn Gustin, APRN, CNP
440 Elm St E,
Annandale, MN 55302-1109

Ph: (320) 274-3744

Reviews and Comments


Nurse Practitioner Nurses in Annandale, MN

Bernice Gyamfi, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 400 Annandale Blvd, Annandale, MN 55302
Phone: 651-431-3710    
Charles David Kent, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 400 Annandale Blvd, Annandale, MN 55302
Phone: 651-259-3850    
Tina Bengtson, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 440 Elm St E, Annandale, MN 55302
Phone: 320-274-3744    Fax: 320-274-8194

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.