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NPI · 1922096239 · NPPES-sourced

Holly Gustafson Pac

ActivePhysician Assistant
NPI Number
1922096239
Type 1 · Individual
Taxonomy Code
363A00000X
Contact
(616) 267-8860
License MI · 5601004148
Last Updated
Enumerated
Primary practice addressMI · 49525-8614
2770 E Beltline Ave NeGrand Rapids, MI 49525-8614
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About this NPIWhat this record shows.

NPI 1922096239 is registered to Holly Gustafson Pac, a Physician Assistant practising at 2770 E Beltline Ave Ne in Grand Rapids, Michigan. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Holly Gustafson Pac has been enumerated in the National Provider Identifier (NPI) registry since 2005.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Holly Gustafson Pac accepts. To confirm in-network status with your specific health plan, contact Holly Gustafson Pac directly at (616) 267-8860.

Frequently asked

Yes. NPI 1922096239 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (616) 267-8860.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Holly Gustafson Pac is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363A00000X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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