| Ms Ann Marie Gustafson-larson, RN, CNP | |
|
1900 Centra Care Circle #2500, Centra Care Clinic Health Plaza / Endocrinology, St Cloud, MN 56303-5000 | |
| (320) 229-5000 | |
| Not Available |
| Full Name | Ms Ann Marie Gustafson-larson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 1900 Centra Care Circle #2500, St Cloud, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952420333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | R-103319-9 (Minnesota) | Primary |
| 133V00000X | Dietitian, Registered | 1134 (Minnesota) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centracare Clinic | 2466363395 | 800 |
| Entity Name | Centracare Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Ann Marie Gustafson-larson, RN, CNP 1900 Centra Care Circle #2500, Centra Care Clinic Health Plaza / Endocrinology, St Cloud, MN 56303-5000 Ph: (320) 229-5000 | Ms Ann Marie Gustafson-larson, RN, CNP 1900 Centra Care Circle #2500, Centra Care Clinic Health Plaza / Endocrinology, St Cloud, MN 56303-5000 Ph: (320) 229-5000 |
Tracy Suzanne Cousin, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 6th Avenue N, St Cloud, MN 56303 Phone: 320-252-5131 Fax: 320-240-2118 |
Jane Marie Suska, APRN CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1900 Centracare Circle #2300, Centracare Clinic Health Plaza Obstetrics And Womens He, St Cloud, MN 56303 Phone: 320-654-3630 Fax: 320-654-3657 |
Ms. Penny L Rubesh, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1555 Northway Drive, Suite 200, St Cloud, MN 56303 Phone: 320-240-3157 Fax: 320-240-3143 |
Sheri L Pikus, RNC NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 Sixth Ave No, Centra Care Clinic, St Cloud, MN 56303 Phone: 320-252-5731 |
Kaylle Rose Schmit Foley, CANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303 Phone: 320-252-5731 |
Sarah Catherine Babst, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth Ave N, St Cloud, MN 56303 Phone: 320-656-7020 Fax: 320-255-5714 |
Kristin Ann Gjerset, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303 Phone: 320-251-2700 |