MS. ANN MARIE GUSTAFSON-LARSON (RN, CNP) – Adult Health Nurse Practitioner, NPI 1952420333
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for MS. ANN MARIE GUSTAFSON-LARSON (RN, CNP)
1900 CENTRA CARE CIRCLE #2500
CENTRA CARE CLINIC HEALTH PLAZA / ENDOCRINOLOGY
ST CLOUD, MN 563035000
Phone: (320) 229-5000
Fax: (763) 689-7878
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $80.
Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.
Last reported payment date: 2024-03-21 • Largest payer in this snapshot: Lilly USA, LLC ($49).
Total Amount
$80
General + Research + Ownership
Payments
2
Total payment records
General Amount
$80
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $49 |
| Medtronic, Inc. | $31 |
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: 2012-11-15
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 |
|---|---|---|---|---|
| I20121115000302 | I | Nurse Practitioner | MN | 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 |
|---|---|---|---|---|
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 153 | 62 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 86 | 58 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 65 | 45 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 21 | 19 | $0 |
Insurance plans in this area (ZIP 56303)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| - | IA | |
| Nurse Practitioner | MN | |
| - | MN | |
| - | MN | |
| Registered Dietitian Or Nutrition Professional | MN | |
| Family Practice | MN | |
| - | MN | |
| - | WI | |
| - | MN |
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