Stephanie Michelle Gustafson

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

22167 Issued in TN

Practice address

110 29TH Ave N
Suite 201
Nashville, TN 37203-1401

Phone

(615) 327-7870

Fax

(615) 800-8610

NPI assigned

Jul 19, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, IA2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Anthony Regional Hospital and Nursing HomeGroup PAC ID 4688586829, shared by 8 NPIs, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Anthony Regional Hospital & Nursing Home Hospital, Carroll, IA, CCN 161382

Merit-based Incentive Payment System (MIPS)

Final score

77.64 of 100Reported as group

Quality

69.74

Promoting interoperability

83

Improvement activities

40

Cost

69.88

Merit-based Incentive Payment System (MIPS)

Final score

65.57 of 100Reported as group

Quality

59.49

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anesthesia Medical Group, PC

  • Anesthesiology Physician
  • Nashville, TN
  • NPI 1215932413

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Shelby County Chris a Myrtue Memorial Hospital

  • Critical Access Hospital
  • Harlan, IA
  • NPI 1598871469
  Medicare reassignment NPD
• Shelby County Chris a. Myrtue Memorial Hospital

  • Family Medicine Physician
  • Harlan, IA
  • NPI 1922184175

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• St Anthony Regional Hospital and Nursing Home

  • Critical Access Hospital
  • Carroll, IA
  • NPI 1720067127
  Medicare reassignment NPD
• St Anthony Regional Hospital and Nursing Home

  • Family Medicine Physician
  • Carroll, IA
  • NPI 1801815972
  Medicare reassignment NPD
• Shelby County Chris a. Myrtue Memorial Hospital

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Harlan, IA
  • NPI 1831717552
  NPD
• St Anthony Regional Hospital and Nursing Home

  • Registered Nurse
  • Carroll, IA
  • NPI 1710062088
  NPD
• Aaa Anesthesia Associates LLC

  • Anesthesiology Physician
  • Allentown, PA
  • NPI 1134620529

  Nurse Anesthetist, Certified Registered

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Anthony Regional Hospital and Nursing Home

  • Critical Access Hospital
  • Carroll, IA
  • NPI 1720067127
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1043663719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 29TH AVE N",
            "address_2": "STE 202",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031401",
            "telephone_number": "615-327-4304",
            "fax_number": "615-327-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 29TH AVE N",
            "address_2": "SUITE 201",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031401",
            "telephone_number": "615-327-7870",
            "fax_number": "615-800-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "202250",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "22167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marta Gurule, RN
• Roman Gusdorf, MD
• Chelsea Gustafson, MD
• Jenny Gustafson
• Mackenzie Gustafson, PHARMD
• Christy McCuen Guth, M.D.
• Melissa Guthrie, BCBA
• Scott Osborn Guthrie, MD
• Margel Gutierrez Estrada
• Cendy Jennifer Gutierrez Rueda

• Certified Registered Nurse Anesthetist in Nashville, TN
• Providers in Nashville, TN by specialty
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.