Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Leigh Anne Gustafson, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1558015099

Leigh Anne Gustafson, AGACNP-BC is a Nurse Practitioner in Medford, Oregon. Qualified in 2021, 5 years ago. Practices with Providence Health and Services - Oregon, a 43-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
5
Licensed in
OR
In the registry since
2022
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Practice location Address checks out

827 Spring St
Medford, OR 97504-6104
Phone: (541) 732-7600
Fax: (541) 732-7601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 202201187NP-PP (OR)

Record details

NPI number1558015099
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedFebruary 3, 2022
Last updated in NPPESFebruary 3, 2022
Certification dateFebruary 3, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Providence Health And Services - Oregon — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Medford