IndividualActive
Jill Gustafson, CNM
NPI 1992224166 · Advanced Practice Midwife · Boise, ID
Provider details
- NPI number
- 1992224166
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- Yes
- License
- 56670 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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 methodology.
Practice location
4948 W Kootenai St Ste 100
Boise, ID 83705-2002
Phone: (208) 510-0261
Fax: (208) 225-4243
Street-level locationGet directions
Mailing address
4948 W Kootenai St Ste 100
Boise, ID 83705-2002
Registry dates
- Enumerated
- 2017-09-19
- Last updated
- 2022-03-09
- Certified
- 2022-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.