Individual provider Active NPI

Carleen Margaret Gust, AGNP-C

  • Plastic Surgery Registered Nurse
  • Minot, ND
National Provider Identifier
1245964113
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery Registered NurseTaxonomy code 163WS0121X
License
R27879 Issued in ND
Practice address
305 37TH Ave SW Ste B
Minot, ND 58701-7301
Phone
(701) 255-3311
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Registered Nurse 163WS0121X R27879 ND Primary

Addresses

Primary practice location

305 37TH Ave SW Ste B
Minot, ND 58701-7301

Mailing address

305 37TH Ave SW Ste B
Minot, ND 58701-7301
Phone (701) 255-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R27879NDMDPlastic Surgery Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Center of Plastic Surgery PastSince Jul 17, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1245964113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 37TH AVE SW STE B",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587017301",
            "telephone_number": "701-255-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 37TH AVE SW STE B",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587017301",
            "telephone_number": "701-255-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUST",
        "first_name": "CARLEEN",
        "middle_name": "MARGARET",
        "name_prefix": "Ms.",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0121X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Plastic Surgery",
            "state": "ND",
            "license": "R27879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.