Kim Gustafson, NP
NPI 1164896056 · Women's Health Nurse Practitioner · Houston, TX
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kim Gustafson, NP is a Women's Health Nurse Practitioner provider in Houston, TX (NPI 1164896056).
Provider details
- NPI number
- 1164896056
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 620019 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
227 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Cervical Or Vaginal Cancer Screening; Pelvic and Clinical Breast ExaminationG0101 | 68 | $34 |
| Screening Papanicolaou Smear; Obtaining, Preparing and Conveyance of Cervical Or Vaginal Smear to LaboratoryQ0091 | 67 | $37 |
| Urinalysis, Manual Test81002 | 54 | $3 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 22 | $78 |
| Stool Analysis for Blood, By Fecal Hemoglobin Determination By Immunoassay82274 | 16 | $16 |
Typical Medicare-allowed amounts for these services range $3–$78 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Estradiol | 64 | 28 |
| Progesterone, Micronizedbrand: Progesterone | 37 | 16 |
| Estradiolbrand: Estradiol (twice Weekly) | 22 | — |
| Fluconazole | 15 | 14 |
| Estrogens, Conjugatedbrand: Premarin | 13 | — |
| Estradiolbrand: Dotti | 12 | — |
| Valacyclovir Hclbrand: Valacyclovir | 12 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$881 across 42 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-11-16
- Last updated
- 2015-11-16
Frequently asked questions
- What is Kim Gustafson's NPI number?
- Kim Gustafson's National Provider Identifier (NPI) is 1164896056, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kim Gustafson's specialty?
- Kim Gustafson is listed in the NPPES registry with a primary specialty of Women's Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kim Gustafson located?
- Kim Gustafson's practice location on file with NPPES is 18300 Katy Fwy, Houston, TX 77094-1385.
- What is Kim Gustafson's phone number?
- The practice phone number listed in the NPPES registry for Kim Gustafson is (713) 464-2100.
- Does Kim Gustafson accept Medicare?
- Kim Gustafson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kim Gustafson's NPI active?
- Yes — Kim Gustafson's NPI (1164896056) is active in the NPPES registry as of the last update on 2015-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.