JORDAN RICHARD GUSTAFSON (PA-C) – Physician Assistant, NPI 1033678644
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,396 PHYSICIAN ASSISTANT in NE
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Provider Addresses for JORDAN RICHARD GUSTAFSON (PA-C)
CHI Health Saint Mary's, 1301, Grundman Boulevard, Nebraska City, Otoe County, Nebraska, 68410, United States
NEBRASKA CITY, NE 684103319
Phone: (402) 873-3321
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 138 Open Payments records for all available years, with a total value of $2,352.
Total Amount is formed as General ($2,352) + Research ($0) + Ownership ($0) = $2,352.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($443).
Total Amount
$2,352
General + Research + Ownership
Payments
138
Total payment records
General Amount
$2,352
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $443 |
| ABBVIE INC. | $402 |
| Amgen Inc. | $294 |
| Lilly USA, LLC | $189 |
| PFIZER INC. | $154 |
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: 2019-03-25
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 |
|---|---|---|---|---|
| I20190325001396 | I | Physician Assistant | NE | 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 |
|---|---|---|---|---|
| 99283 | Emergency department visit with low level of medical decision making | 20 | 20 | $0 |
Insurance plans in this area (ZIP 68410)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NE | |
| Family Practice | NE | |
| Physician Assistant | NE | |
| Family Practice | NE | |
| Physician Assistant | NE | |
| Physician Assistant | NE | |
| Certified Registered Nurse Anesthetist (Crna) | NE | |
| Hospitalist, Internal Medicine | NE | |
| Family Practice | NE | |
| Nurse Practitioner | NE |
Reviews
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