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

Mrs. Melissa Ann Gustafson

Individual provider Registered Nurse · NPI 1659004133

Mrs. Melissa Ann Gustafson is a Nurse Practitioner in Grass Valley, California. Graduated from University of Nevada School of Medicine in 2023, 3 years ago. Practices with Western Sierra Medical Clinic Inc, a 34-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Trained at
University of Nevada School of Medicine
Licensed in
CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

844 Old Tunnel Rd
Grass Valley, CA 95945-8524
Phone: (925) 864-7722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95027646 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95071134 (CA)

Record details

NPI number1659004133
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 2, 2022
Last updated in NPPESMarch 26, 2024
Certification dateDecember 20, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Western Sierra Medical Clinic Inc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grass Valley