Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Judith Lynn Gustafson, FNP-C

Individual provider Family Nurse Practitioner · NPI 1851554471

Judith Lynn Gustafson, FNP-C is a Nurse Practitioner in Missoula, Montana. Qualified in 2006, 20 years ago. Practices with Providence Health and Services Mt, a 358-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Montana.

Years since qualifying
20
Licensed in
MT
In the registry since
2008
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

500 W Broadway St
Missoula, MT 59802-4008
Phone: (406) 543-7271
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 W Spruce St Ste K, Missoula, MT 59802-4047 — (406) 327-1950

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NUR-APRN-LIC-100250 (MT)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 21661 (MT)

Record details

NPI number1851554471
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedJuly 3, 2008
Last updated in NPPESMay 25, 2021
Certification dateMay 25, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Providence Health And Services Mt — 358 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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