Jessica Ann Gustafson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

16312 Issued in AR

Practice address

1720 S Walton Blvd Ste 6
Bentonville, AR 72712-7533

Phone

(479) 464-0834

Fax

(479) 464-0836

NPI assigned

Aug 6, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Invision Family Chiropractic LLCGroup PAC ID 0446475586, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Invision Family Chiropractic, LLC

  • Chiropractor
  • Bentonville, AR
  • NPI 1255758397

  AR, Chiropractor

  Medicare reassignment Care Compare group NPD
• The Farm Clinic

  • Chiropractor
  • Bentonville, AR
  • NPI 1982594008
  NPD

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1821828609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S WALTON BLVD STE 6",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127533",
            "telephone_number": "479-464-0834",
            "fax_number": "479-464-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 S WALTON BLVD STE 6",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127533",
            "telephone_number": "479-464-0834",
            "fax_number": "479-464-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AR",
            "license": "16312",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Grimes
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• Maggie B Grymes, OTD
• Laurie Guerrero
• Haley Gutierrez
• Ingrid Adriana Gutierrez
• Shirley Guyton, LPN
• Loren Sharri Guzman, MD
• Alex Lee Haines, D.C.

• All providers in Bentonville, AR
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.