Melissa Ann Gustafson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95027646 Issued in CA

Practice address

844 Old Tunnel Rd
Grass Valley, CA 95945-8524

Phone

(925) 864-7722

NPI assigned

Jul 2, 2022

Last updated

Mar 26, 2024By 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 2

Addresses

Other names 1

• Melissa Ann Lowe Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Nurse Practitioner

Education

University of Nevada School of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Western Sierra Medical Clinic IncGroup PAC ID 3971571217, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sierra Nevada Memorial Hospital Hospital, Grass Valley, CA, CCN 050150

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melissa.gustafson@wsmc1.eclinicaldirectplus.com

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.

• Western Sierra Medical Clinic, Inc.

  • Urgent Care Clinic/Center
  • Downieville, CA
  • NPI 1851513469
  Medicare reassignment Care Compare group NPD
• Western Sierra Medical Clinic, Inc.

  dba Western Sierra Medical Center

  • Federally Qualified Health Center (FQHC)
  • Grass Valley, CA
  • NPI 1063496396
  NPD
• Western Sierra Medical Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Oregon House, CA
  • NPI 1780463257
  NPD

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

• Sierra Nevada Memorial-Miners Hospital

  dba Sierra Nevada Memorial Hospital

  • General Acute Care Hospital
  • Grass Valley, CA
  • NPI 1659361392
  Care Compare affiliation

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

{
    "created_epoch": "1656720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1659004133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 OLD TUNNEL RD",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959458524",
            "telephone_number": "925-864-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 OLD TUNNEL RD",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959458524",
            "telephone_number": "925-864-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-02",
        "last_updated": "2024-03-26",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95071134",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95027646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "LOWE",
            "middle_name": "ANN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katrina Maile Grossman, MFT
• Danielle Groves
• GSMS Inc.
• Molly Guiremand
• Heather Gunim
• Hannah Elizabeth Gustin
• Jennifer Guthrie, RN, PHN, BSN
• Mary Debra Gutierrez, MPT
• Michelle Gutierrez
• Nadia Haas

• Family Nurse Practitioner in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.