Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake M Gustafson, PA

Individual provider Physician Assistant · NPI 1326800574

Blake M Gustafson, PA is a Physician Assistant in Kansas City, Kansas. Qualified in 2023, 3 years ago. Practices with Kansas University Physicians Inc, a 1,819-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
3
Licensed in
KS, MO
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4000 Cambridge St
Kansas City, KS 66160-8501
Phone: (913) 588-1227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 20333 W 151st St, Olathe, KS 66061-5350 — (913) 588-1227
  • 616 Marriott Dr, Nashville, TN 37214-5048 — (629) 802-3000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15-02895 (KS)
Physician Assistant Taxonomy 363A00000X · Licence 2024004731 (MO)

Record details

NPI number1326800574
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 24, 2024
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Kansas University Physicians Inc — 1819 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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