DAWN RENEE GUSTOFSON (RD, LD, CDE) – Registered Dietitian, NPI 1225133531
Registered Dietitian
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
62 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in IA
Provider Addresses for DAWN RENEE GUSTOFSON (RD, LD, CDE)
Des Moines Post Office, 1165, 2nd Avenue, Des Moines, Polk County, Iowa, 50318, United States
DES MOINES, IA 503051475
Phone: (515) 643-5203
Fax: (515) 643-5204
Type: Mailing
411 LAUREL ST STE 3320
DES MOINES, IA 503143017
Phone: (515) 643-5203
Fax: (515) 643-5204
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-07-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100726000207 | I | Registered Dietitian Or Nutrition Professional | IA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 84 | 44 | $0 |
Insurance plans in this area (ZIP 50305)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | IA | |
| P S Y C H I A T R Y | IA | |
| - | IA | |
| Family Practice | IA | |
| - | NE | |
| Emergency Medicine | IA | |
| Family Practice | IA | |
| Physician Assistant | IA | |
| - | IA | |
| Nurse Practitioner | IA |
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