Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Tracey Gustafson , MA, CCC-SLP, L

Speech-Language Pathologist β€’ Freeport, IL

Active NPI 1518471507 Individual Practitioner Female Practitioner
Practice location in NPPES

1717 W Eby St
Freeport, IL 610324644

Call 8152320340 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1717 W Eby St

Freeport, IL 610324644

Telephone 8152320340

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Freeport and Illinois

26 active clinicians are listed under Speech-Language Pathologist with a practice address in Freeport, IL (10,226 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Freeport

0% of these 26 clinicians have the CMS telehealth indicator.

0% of these 26 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-03-10
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated March 10, 2020

Recorded as TRACEY GUSTAFSON, MA, CCC-SLP/L

βœ…
NPI Profile Active November 29, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 29, 2017

Registered at 1717 W EBY ST, FREEPORT, IL 610324644 (Tel: 8152320340)

πŸ“
Business Mailing Address (Initial Record) November 29, 2017

Registered at 663 W CLEVELAND ST, FREEPORT, IL 610326337

πŸ‘€
Provider Name / Credentials (Initial Record) November 29, 2017

Recorded as TRACEY GUSTAFSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2017

Speech-Language Pathologist

🟒
Initial NPI Registration & Enumeration November 29, 2017

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1518471507
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2017
Last Update: March 10, 2020
Sole Proprietor: No

Mailing Address

663 W Cleveland St

Freeport, IL 610326337

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.