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

Susan E Gustafson, PA-C

Individual provider Physician Assistant · NPI 1417393927

Susan E Gustafson, PA-C is a Physician Assistant in Jamestown, New York. Qualified in 2013, 13 years ago. Practices with Rpci Oncology, PC, a 60-clinician group and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
13
Licensed in
NY, PA
In the registry since
2013
Specialties on file
3
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

21 Porter Ave
Jamestown, NY 14701-6247
Phone: (716) 664-1909
Fax: (716) 664-2214
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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 016685 (NY)
Physician Assistant Taxonomy 363A00000X · Licence MA060649 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA060649 (PA)

Record details

NPI number1417393927
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 13, 2013
Last updated in NPPESAugust 20, 2021
Certification dateAugust 20, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Rpci Oncology, Pc — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jamestown