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

Lesley A Gustafson, CNM

Individual provider Advanced Practice Midwife · NPI 1639163199

Lesley A Gustafson, CNM is a Certified Nurse Midwife (CNM) in Waterbury, Connecticut. Qualified in 1998, 28 years ago. Practices with Prospect CT Medical Foundation Inc, a 289-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
28
Licensed in
WV
In the registry since
2005
Specialties on file
2
What do these letters mean?
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.

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Practice location Address checks out

140 Grandview Ave Ste 202
Waterbury, CT 06708
Phone: (203) 755-2344
Fax: (203) 573-8166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence 57006 (WV)
Advanced Practice Midwife Taxonomy 367A00000X · Licence 114 (WV)

Record details

NPI number1639163199
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNM
Sole proprietorNo
NPI enumeratedSeptember 9, 2005
Last updated in NPPESSeptember 11, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Prospect Ct Medical Foundation Inc — 289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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