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

Eric Matthew Gustafson

Individual provider Family Nurse Practitioner · NPI 1942154265

Eric Matthew Gustafson is a Nurse Practitioner in Fairbanks, Alaska. Qualified in 2025, 1 year ago. Accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
1
Licensed in
AK
In the registry since
2026

Practice location Address checks out

1001 Noble St
Fairbanks, AK 99701-4948
Phone: (907) 459-3511
Fax: (907) 459-3588
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 249869 (AK)

Record details

NPI number1942154265
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 24, 2026
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026
Mailing addressPo Box 73720, Fairbanks, AK 99707-3720

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fairbanks