Nurse Practitioner
KATELYN GUSTAFSON NP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1912454455 · enumerated 2016-09-01 · record updated 2023-01-25. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: KATELYN SMITH
Addresses and phones
- Practice location 6401 PRAIRIE ST STE 1700, NORTON SHORES, MI, 49444-7843 (231) 727-7944 Fax (231) 724-7812 Google Maps Apple Maps OpenStreetMap
- Mailing address 250 N SHADELAND AVE, INDIANAPOLIS, IN, 46219-4959 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Primary Care 363LP2300X · License 5008868 NC
- Nurse Practitioner, Obstetrics & Gynecology 363LX0001X · License 71013513A IN
- Nurse Practitioner 363L00000X · Primary · License 4704373177 MI
In this directory
Locations and evidence
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Practice location
NORTON SHORES, MI, 494447843
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.