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

Individual provider Physician Assistant · NPI 1215636121

Katelyn Gustafson, PA-C is a Physician Assistant in Saint Louis, Missouri. Qualified in 2022, 4 years ago. Practices with Colorado Springs Orthopaedic Group, a 78-clinician group and accepts Medicare assignment. Licensed in Colorado and Missouri.

Years since qualifying
4
Licensed in
CO, MO
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

621 S New Ballas Rd Ste 560A
Saint Louis, MO 63141-8261
Phone: (314) 251-6440
Fax: (314) 251-4456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2025044201 (MO)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA.0007815 (CO)

Record details

NPI number1215636121
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 28, 2023
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Colorado Springs Orthopaedic Group — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Saint Louis