STEPHANIE MICHELLE GUSTAFSON – Certified Registered Nurse Anesthetist, NPI 1043663719

STEPHANIE MICHELLE GUSTAFSON is a healthcare provider. based in Nashville, Tennessee. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 202250 (TN). The NPI Number for STEPHANIE MICHELLE GUSTAFSON is 1043663719

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE MICHELLE GUSTAFSON
NPI
1043663719
Phone
(615) 327-4304
Address
110 29TH AVE N
Enumeration Date
19 July 2016
Last Update Date
13 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7127945402
Graduation Year
2016 (10 years ago)
PAC ID
5294019394
Group Practice PAC ID
4688586829
Professional Enrollment ID
I20240702000598
Address ID
IA514013038CA311XXSTXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:9State licenses:2Digital endpointsOther names

2,752 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TN

Provider Addresses for STEPHANIE MICHELLE GUSTAFSON

  • 110 29TH AVE N

    STE 202

    NASHVILLE, TN 372031401

    Phone: (615) 327-4304

    Fax: (615) 327-7940

    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 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2024-07-13 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-13

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: 2024-07-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170309002646ICertified Registered Nurse Anesthetist (Crna)TNTBD
I20240702000598ICertified Registered Nurse Anesthetist (Crna)IATBD

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
00811Anesthesia for other procedure on large bowel using an endoscope2222$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1616$0
View full utilization report →

Insurance plans in this area (ZIP 37203)

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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: 4688586829View full group profile
NameSpecialtyState
Medical Oncology, HematologyIA
-NE
Nurse PractitionerIA
-IA
Family PracticeUT
Nurse PractitionerIA
Nurse PractitionerIA
N E U R O L O G YSD
Certified Registered Nurse Anesthetist (Crna)NJ
-IA

Reviews

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Frequently asked questions

Is there an official ID for STEPHANIE MICHELLE GUSTAFSON in U.S. healthcare records?
The official identifier for STEPHANIE MICHELLE GUSTAFSON is NPI 1043663719.
Is STEPHANIE MICHELLE GUSTAFSON still an active registrant?
STEPHANIE MICHELLE GUSTAFSON carries an active NPI according to the public dataset.
What clinical focus is listed for STEPHANIE MICHELLE GUSTAFSON?
At a glance, STEPHANIE MICHELLE GUSTAFSON is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is STEPHANIE MICHELLE GUSTAFSON located near Nashville?
STEPHANIE MICHELLE GUSTAFSON currently maps to Nashville, Tennessee in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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