Ann Marie Gustafson-Larson, RN, CNP
NPI 1952420333ActiveIndividual· Nurse Practitioner, Adult Health· St Cloud, MN
Nurse Practitioner, Adult Health (RN, CNP) in St Cloud, Minnesota, licensed in MN, with an NPI issued in March 2007. Their prescriptions cost Medicare Part D more than their services did: $928,444 for 1,916 claims, against $22,494 paid for services in 2024. Lilly USA, LLC reported $49.19 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1952420333 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN, CNP |
| Sole proprietor | No |
| NPI issued | Mar 28, 2007 |
| Last updated in NPPES | Sep 11, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | R-103319-9 | MN |
| Dietitian, Registered | 133V00000X | 1134 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 88 |
|---|---|
| Services billed | 393 across 17 procedure codes |
| Paid by Medicare | $22,494 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,916 · 3,674 30-day fills |
|---|---|
| Patients | 160 |
| Total drug cost | $928,444 |
| Generic share | 22% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Industry payments (Open Payments)
- 2024$49.19 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $49.19 | 1 |
What the 2024 payments were for
- Food and Beverage$49.19 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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