Active NPI
Zoey McKenna Gustafson, ARNP
- Nurse Practitioner
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP61335763
- Practice address
- 3919 N Maple St
Spokane, WA 99205-1349 - Phone
- (509) 444-8200
- Fax
- (509) 434-0392
- NPI assigned
- May 24, 2019
- Last updated
- Mar 10, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP61335763 | WA | Primary |
| Registered Nurse | 163W00000X | RN60842399 | WA |
Addresses
Primary practice location
3919 N Maple St
Spokane, WA 99205-1349
Mailing address
611 N Iron Bridge Way
Spokane, WA 99202-4932
Phone (509) 444-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1001 W 2ND Ave
Spokane, WA 99201-4503
Phone (509) 835-1206
1630 23Rd Ave
Suite 501
Lewiston, ID 83501-6345
Phone (509) 570-9302
208 E Francis Ave
Spokane, WA 99208-1071
Phone (509) 222-1275
3919 N Maple St
Spokane, WA 99205-1349
Phone (509) 444-8888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61335763 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Association of Spokane | Current | Accepting new patients | |
| Ideal Telemedicine Services, LLC | Current | Accepting new patients | |
| Community Health Association of Spokane | Current | Accepting new patients | |
| Ideal Option, PLLC | Current | Accepting new patients | |
| Ideal Option, PLLC | Current | Accepting new patients | |
| Community Health Association of Spokane | Current | Accepting new patients | |
| Ideal Option, PLLC | Current | Accepting new patients | |
| Ideal Telemedicine Services, LLC | Past | Accepting new patients |
Locations
8050 W Rifleman St
Ste 200
Boise, ID 83704
3110 Cleveland Blvd
Ste A7
Caldwell, ID 83605
3918 N Schreiber Way
Coeur D Alene, ID 83815
Phone (509) 961-6672
1630 23rd Ave
Ste 501
Lewiston, ID 83501
158 W Olive St
Newport, OR 97365
Phone (541) 248-2634
1215 120th Ave NE
Ste 201
Bellevue, WA 98005
Phone (425) 248-4200
1720 2nd St
Cheney, WA 99004
Phone (207) 865-8002
8508 W Gage Blvd
Ste A101
Kennewick, WA 99336
Phone 8775221275 ext. 3049
8514 W Gage Blvd
Ste G
Kennewick, WA 99336
Phone 50922212756
745 N Grand Ave
Apt 107
Pullman, WA 99163
500 SW 7th St
Ste A205
Renton, WA 98057
1001 W 2nd Ave
Spokane, WA 99201
Phone (509) 835-1205
203 N Washington St
Ste 300
Spokane, WA 99201
208 E Francis Ave
Spokane, WA 99208
Phone (509) 489-2372
26 E 5th Ave
Spokane, WA 99202
Phone (509) 458-7720
3919 N Maple St
Spokane, WA 99205
Phone (509) 326-6900
5620 S Regal St
Ste 11
Spokane, WA 99223
Phone (509) 340-1590
5901 N Lidgerwood St
Ste 126
Spokane, WA 99208
Phone (509) 434-1990
5921 N Market St
Spokane, WA 99208
Phone (509) 487-1604
611 N Iron Bridge Way
Spokane, WA 99202
914 W Carlisle Ave
Spokane, WA 99205
Phone (509) 325-0393
1502 N Vercler Rd
Spokane Valley, WA 99216
Phone (509) 444-8204
1702 Tacoma Ave S
Ste A
Tacoma, WA 98402
406 SE 131st Ave
Ste 104
Vancouver, WA 98683
Phone (360) 896-6944
Interoperability endpoints
- zoey.deleon.1@11411.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1326005851
-
- Federally Qualified Health Center (FQHC)
- Spokane Valley, WA
- NPI 1437526456
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1679363592
-
- Clinical Medical Laboratory
- Renton, WA
- NPI 1538662663
-
- Clinical Medical Laboratory
- Kennewick, WA
- NPI 1841648623
-
- Clinic/Center
- Rosedale, MD
- NPI 1427561828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773100800000",
"number": "1235796251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 N IRON BRIDGE WAY",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992024932",
"telephone_number": "509-444-8888",
"fax_number": "509-444-7806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3919 N MAPLE ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992051349",
"telephone_number": "509-444-8200",
"fax_number": "509-434-0392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUSTAFSON",
"first_name": "ZOEY",
"middle_name": "MCKENNA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-24",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP61335763",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60842399",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.