Shane Gustafson, DO

ActiveIndividual ProviderFamily Medicine
NPI issued: August 5, 2006

Quick Facts

NPI Number
1922017623
TypeIndividual
StatusActive
SpecialtyFamily Medicine
Taxonomy207QS0010X — Family Medicine
Phone
(952) 831-8742
StateMN

NPI Validation Status: Verified

Valid 10-digit NPI number (1922017623)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 5, 2006)
Data source: CMS NPPES

Provider Overview

SHANE GUSTAFSON, DO is a Family Medicine provider based in Bloomington, MN who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1922017623
Provider TypeIndividual Provider
GenderMale
CredentialDO
StatusActive
Enumeration DateAugust 5, 2006

Practice Location

CityBloomington
StateMN
ZIP Code55431-4800
Phone(952) 831-8742

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207QS0010X
License StateMN

Mailing Address

CityBloomington
StateMN
ZIP Code55431-4800
Phone(952) 831-8742
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1922017623 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1922017623for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1922017623 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

📊
2,977
Family Medicine Providers in the US

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People Also Ask

What is Shane Gustafson's NPI number?
Shane Gustafson's NPI number is 1922017623, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Shane Gustafson's NPI currently active?
Yes, Shane Gustafson's NPI status is Active as of the latest CMS NPPES database updates.
What does Shane Gustafson specialize in?
Shane Gustafson specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207QS0010X.
Where does Shane Gustafson practice?
Shane Gustafson practices in Bloomington, MN 55431-4800.
When was Shane Gustafson's NPI issued?
Shane Gustafson's NPI was issued on August 5, 2006.
What is Shane Gustafson's provider type?
Shane Gustafson is registered as an Individual Provider under CMS NPI Type 1.