Lesley A. Gustafson, CNM
NPI 1639163199ActiveIndividual· Advanced Practice Midwife· Waterbury, CT
Advanced Practice Midwife (CNM) with Prospect CT Medical Foundation Inc, practicing in Waterbury, Connecticut. Enrolled in Medicare as practitioner - certified nurse midwife (cnm).
Overview
| NPI | 1639163199 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CNM |
| Sole proprietor | No |
| NPI issued | Sep 9, 2005 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Advanced Practice Midwife Primary | 367A00000X | 57006 | WV |
| Advanced Practice Midwife | 367A00000X | 114 | WV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Nurse Midwife (Cnm) (CT) |
|---|
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Certified Nurse Midwife (Cnm) |
Medical group
- Prospect CT Medical Foundation IncManchester, CT · 282 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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