Amber Joy Gustafson, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601005343 Issued in MI

Practice address

2845 US 2 & 41
Suite 201
Bark River, MI 49807

Phone

(906) 466-2000

Fax

(906) 466-2067

NPI assigned

Aug 25, 2008

Last updated

Mar 6, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cedar Hill Medical PCGroup PAC ID 5395840672, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Osf St Francis Hospital and Medical Group Hospital, Escanaba, MI, CCN 231337
• Dickinson County Memorial Hospital Hospital, Iron Mountain, MI, CCN 230055
• Marshfield Medical Center Hospital, Iron Mountain, MI, CCN 231342

Merit-based Incentive Payment System (MIPS)

Final score

91.52 of 100Reported as group

Quality

100

Improvement activities

40

Cost

71.75

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

• Cedar Hill Medical PC

  • Family Medicine Physician
  • Bark River, MI
  • NPI 1932249984
  Medicare reassignment Care Compare group

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

• Dickinson County Healthcare System

  dba Marshfield Medical Center - Dickinson

  • Critical Access Hospital
  • Iron Mountain, MI
  • NPI 1841188604
  Care Compare affiliation
• St Francis Hospital

  dba OSF Healthcare St. Francis Hospital & Medical Group

  • Critical Access Hospital
  • Escanaba, MI
  • NPI 1922058551
  Care Compare affiliation

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1063669778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 US 2 & 41",
            "address_2": "SUITE 201",
            "city": "BARK RIVER",
            "state": "MI",
            "postal_code": "49807",
            "telephone_number": "906-466-2000",
            "fax_number": "906-466-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 US 2 & 41",
            "address_2": "SUITE 201",
            "city": "BARK RIVER",
            "state": "MI",
            "postal_code": "49807",
            "telephone_number": "906-466-2000",
            "fax_number": "906-466-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "AMBER",
        "middle_name": "JOY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601005343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AG005343",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cedar Hill Medical PC
• Atheana K Curtis
• Dickinson County Healthcare System (Marshfield Medical Center - Dickinson Bark River Center)
• Josie Hannah Gordon
• Jodi L Greenfield, DO
• Hannahville Indian Community (Three Fires Recovery Residence)
• Hometown Physical Therapy and Wellness PLC
• Brandon Mayrand
• Vanessa Luella McDonald
• Jamie Nestle

• Medical Physician Assistant in Bark River, MI
• Providers in Bark River, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.