HAYLEE M GUSTAFSON (MPAS, PA-C) – Physician Assistant, NPI 1225610421

HAYLEE M GUSTAFSON (MPAS, PA-C) is a healthcare provider. based in Nebraska city, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MPAS, PA-C. The NPI Number for HAYLEE M GUSTAFSON (MPAS, PA-C) is 1225610421

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
HAYLEE M GUSTAFSON (MPAS, PA-C)
NPI
1225610421
Phone
Not provided
Address
1517 ORCHARD DR APT 22
Enumeration Date
27 April 2021
Last Update Date
27 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4028734242
Graduation Year
2020 (6 years ago)
PAC ID
0345644076
Group Practice PAC ID
7113831926
Professional Enrollment ID
I20210803002033
Address ID
NE684103320NE1301XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

1,396 PHYSICIAN ASSISTANT in NE

Provider Addresses for HAYLEE M GUSTAFSON (MPAS, PA-C)

  • 1517 ORCHARD DR APT 22

    NEBRASKA CITY, NE 684101575

    Phone:

    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 47 Open Payments records for all available years, with a total value of $886.

Total Amount is formed as General ($886) + Research ($0) + Ownership ($0) = $886.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($147).

Total Amount

$886

General + Research + Ownership

Payments

47

Total payment records

General Amount

$886

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-08-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210803002033IPhysician AssistantNETBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes13758$0
99239Hospital discharge day management, more than 30 minutes4644$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4241$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4228$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1811$0
View full utilization report →

Insurance plans in this area (ZIP 68410)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113831926View full group profile
NameSpecialtyState
Family PracticeNE
Physician AssistantNE
Family PracticeNE
Physician AssistantNE
Family PracticeNE
Physician AssistantNE
Certified Registered Nurse Anesthetist (Crna)NE
Hospitalist, Internal MedicineNE
Family PracticeNE
Nurse PractitionerNE

Reviews

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Frequently asked questions

Can I use this page to confirm HAYLEE M GUSTAFSON (MPAS, PA-C)'s NPI?
Yes. HAYLEE M GUSTAFSON (MPAS, PA-C) is listed with NPI 1225610421 in the public NPI dataset.
Is HAYLEE M GUSTAFSON (MPAS, PA-C) still practicing?
HAYLEE M GUSTAFSON (MPAS, PA-C) is currently listed as active in the public NPI registry.
What taxonomy line describes HAYLEE M GUSTAFSON (MPAS, PA-C)?
For research purposes, treat HAYLEE M GUSTAFSON (MPAS, PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for HAYLEE M GUSTAFSON (MPAS, PA-C)?
HAYLEE M GUSTAFSON (MPAS, PA-C)'s geographic hint is Nebraska City, Nebraska in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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