Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATELYN GUSTAFSON, PA-C
ActiveKATELYN GUSTAFSON, PA-C is a Physician Assistant healthcare provider located in SAINT LOUIS, Missouri. NPI 1215636121 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1215636121
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 28, 2023 (3.4422463626912 yrs)
- Last Updated
- Nov 3, 2025
- Licenses
-
2025044201 (MO)PA.0007815 (CO)
Practice Information
- Address
-
621 S NEW BALLAS RD STE 560ASAINT LOUIS, MO, 631418261Browse MO providers · Browse ZIP 63141
- Phone
- 3142516440
- Fax
- 3142514456
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Medical Physician Assistant
Other Physician Assistant Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| MR. JEREMY D DUNBARR | P.A. | 1831191014 |
| JAMIE LYNN SHEDELBOWER | PA | 1033115480 |
| BRYON J WITZEL | PA-C | 1528065844 |
| MR. JASON B GAY | PA-C | 1518964378 |
| MS. BROOKE NEILLY VANANNE | PA | 1699757955 |
| RENEE AMATO | PA | 1922085356 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.