Kessarin Gustafson, ARNP - Medicare Nurse Practitioner in Jacksonville, FL

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Kessarin Gustafson, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Florida. Her current practice location is 2080 Child St Dept 5000, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 542-7460.

Kessarin Gustafson is licensed to practice in Florida (license number 9331620) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407203821.

Contact Information

Kessarin Gustafson, ARNP
2080 Child St Dept 5000,
Jacksonville, FL 32214-5000
(904) 542-7460
Not Available

Map and Direction




Provider's Profile

Full NameKessarin Gustafson
GenderFemale
SpecialityNurse Practitioner - Family
Location2080 Child St Dept 5000, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407203821
  • Provider Enumeration Date: 05/16/2016
  • Last Update Date: 07/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8224325238
  • Enrollment ID: I20160919002598

Medical Identifiers

Medical identifiers for Kessarin Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407203821NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 9331620 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kessarin Gustafson allows following entities to bill medicare on her behalf.
Entity NameLakeland Regional Health Systems Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497748743
PECOS PAC ID: 8325952914
Enrollment ID: O20031118000384
Entity NameDwic Of Tampa Bay Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780633834
PECOS PAC ID: 3779573167
Enrollment ID: O20040517001035
Entity NameMedexpress Urgent Care Of Boynton Beach, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366544728
PECOS PAC ID: 7517980832
Enrollment ID: O20060112000219
Entity NameRidgewood Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750862694
PECOS PAC ID: 6305199597
Enrollment ID: O20181106001193

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kessarin Gustafson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kessarin Gustafson, ARNP
2080 Child St Dept 5000,
Jacksonville, FL 32214-5000

Ph: (904) 542-7460		Kessarin Gustafson, ARNP
2080 Child St Dept 5000,
Jacksonville, FL 32214-5000

Ph: (904) 542-7460

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.