Jill Reena Gustafson, CNM
NPI 1992224166ActiveIndividual· Advanced Practice Midwife· Boise, ID
Advanced Practice Midwife (CNM) in Boise, Idaho, licensed in ID, with an NPI issued in September 2017. Part D covered 22 prescriptions written in 2024, 82% of them generic. Mayne Pharma Commercial LLC reported $24.69 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1992224166 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CNM |
| Sole proprietor | Yes |
| NPI issued | Sep 19, 2017 |
| Last updated in NPPES | Mar 9, 2022 |
| Certified by provider | Mar 9, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Advanced Practice Midwife Primary | 367A00000X | 56670 | ID |
| Registered Nurse | 163W00000X | 56670 | ID |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 22 · 39 30-day fills |
|---|---|
| Total drug cost | $1,945 |
| Generic share | 82% of claims |
Industry payments (Open Payments)
- 2025$24.69 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Mayne Pharma Commercial LLC | $24.69 | 1 |
What the 2025 payments were for
- Food and Beverage$24.69 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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