Individual provider Active NPI

Dana Gustin

  • Family Nurse Practitioner
  • Lenoir, NC
National Provider Identifier
1700632239
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F04240348 Issued in NC
Practice address
2345 Morganton Blvd SW Ste B
Lenoir, NC 28645-4973
Phone
(828) 426-8400
Fax
(828) 426-8450
NPI assigned
Apr 25, 2024
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F04240348 NC Primary

Addresses

Primary practice location

2345 Morganton Blvd SW Ste B
Lenoir, NC 28645-4973

Mailing address

2345 Morganton Blvd SW Ste B
Lenoir, NC 28645-4973
Phone (828) 426-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20240715002095 NC Practitioner - Nurse Practitioner 7810432812 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F04240348NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Wilkes Current Accepting new patients
County of Wilkes CurrentSince May 1, 2024 Accepting new patients

Locations

306 College St
Wilkesboro, NC 28697
Phone (336) 651-7450

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1700632239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 MORGANTON BLVD SW STE B",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286454973",
            "telephone_number": "828-426-8400",
            "fax_number": "828-426-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 MORGANTON BLVD SW STE B",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286454973",
            "telephone_number": "828-426-8400",
            "fax_number": "828-426-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTIN",
        "first_name": "DANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-25",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F04240348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

Verify at the official NPI Registry.