MAKEDA GANT
NPI 1003201039
Nurse Practitioner - Family in San Francisco, CA

Q: What is Makeda Gant's NPI number?

The NPI number for Makeda Gant is 1003201039. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Q: What is Makeda Gant's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Makeda Gant was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 06, 2015PECOS Enrolled

1 EMBARCADERO CTR FL 19, SAN FRANCISCO, CA 94111(415) 658-6791(415) 252-7176 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 14, 2025, Sep 17, 2024, Dec 28, 2016 (3 updates tracked since 2016).

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About Makeda Gant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAKEDA GANT (NPI 1003201039) is an individual family provider in San Francisco, California, licensed in Oklahoma (116446) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003201039

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMAKEDA GANT

Location Address1 EMBARCADERO CTR FL 19San Francisco, CA 94111-3628

Mailing Address1 Embarcadero Ctr Fl 19San Francisco, CA 94111-3628 · Fax (415) 252-7176

Phone(415) 658-6791

Fax(415) 252-7176

Sole ProprietorYes

Enumeration DateApril 6, 2015

Last NPPES UpdateApril 23, 20253 updates tracked since enumeration

NPPES CertifiedApril 23, 2025

✔ NPI 1003201039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in OK · 116446✔ Licensed in CO · APN.0991567-NP✔ Licensed in TX · 1194341✔ Licensed in WA · AP61645279✔ Licensed in AZ · 316037✔ Licensed in NC · 5021596

1 EMBARCADERO CTR FL 19, San Francisco, CA 94111

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Makeda Gant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Makeda Gant reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Intermountain Medical Group Denver, LLC

939 mi

Cardiovascular Disease

400 INDIANA ST STE 390
Golden, CO 80401

Reassigned Medicare billing, Colorado enrollment
1,270 clinicians in this Medicare group

NPI 1275375339 (303) 716-8027

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARKIRA OLGA STEWART PA-C

Physician Assistant