Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013479609 Individual Practitioner Female Practitioner

Jennifer Lynn Gustafson , CNP

Nurse Practitioner • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Jennifer Gustafson, CNP is a registered healthcare professional specializing in Nurse Practitioner in Worcester, MA. Practice services are available at 55 LAKE AVE N under active NPI credentials.

Frequently performed procedures and clinical services include critical care. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N

Worcester, MA 016550002

Telephone 7744437552
Associated Practice Facility / Clinic
🏢 Umass Memorial Medical Center Facility NPI 1679574933

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Worcester, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.9 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
506 Specialists

Practicing in Worcester, MA (3545 Statewide)

Telehealth Adoption Rate
17.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
75.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99292 Critical care, each additional 30 minutes
37 20 $395.00 $96.36

Medical Specialties & State Licenses

CMS Verified: 2020-10-26
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA RN2287928

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
110152274A (MA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Daniel Zinkus , PA-C

Physician Assistant

NPI 1003275892

Physician Assistant (Certified)

NPI 1003653700

ACNPCAG

NPI 1013630433

Nurse Practitioner

Susan Shaddock , CNP

Nurse Practitioner

NPI 1073036554

Certified Nurse Practitioner

Alexandra Bunzel , PA-C

Physician Assistant

NPI 1073131090

Physician Assistant (Certified)

Anstrice Braga , NP

Nurse Practitioner

NPI 1073818993

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address April 26, 2019

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2019

Nurse Practitioner (License #RN2287928 in MA)

NPI Profile Active April 02, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 02, 2019

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 7744437552)

📍
Updated Business Mailing Address April 02, 2019

Registered at 11 HOME ST, WEST WARWICK, RI 028935024 (Tel: 7742380495)

👤
Provider Name / Credentials Updated April 02, 2019

Recorded as JENNIFER GUSTAFSON, CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2019

Nurse Practitioner (License #RN2287928 in MA)

🟢
Initial NPI Registration & Enumeration April 02, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013479609
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2019
Last Update: October 26, 2020
Sole Proprietor: No

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.