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ELENA GALLARDO COSTA NP
NPI 1033288931
Nurse Practitioner in Tracy, CA

Active since November 06, 2006PECOS EnrolledAccepts Medicare Assignment
2185 W GRANT LINE RD, TRACY, CA 95377(209) 839-3300 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Elena Gallardo Costa Np NPPES

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

ELENA GALLARDO COSTA NP (NPI 1033288931) is an individual nurse practitioner in Tracy, California, licensed in California (15543) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1033288931
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameELENA GALLARDO COSTACredential: NP
Location Address2185 W GRANT LINE RDTracy, CA 95377-7309
Mailing Address2185 W Grant Line RdTracy, CA 95377-7309 · (209) 839-3300
Phone(209) 839-3300
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateNovember 6, 2006
Last NPPES UpdateJanuary 11, 2022
✔ NPI 1033288931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 15543
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2185 W GRANT LINE RD, Tracy, CA 95377
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Other Names 1

Other Name (5)Elena Gallardo Arroyo

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elena Gallardo Costa Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486653656
PECOS Enrollment IDI20061215000555
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 Elena Costa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
20 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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 95377 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

DR. TRACY ANN GAYESKI PSY.D.
Psychologist
2185 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 839-6234
MS. MYRA MAE SIA HAYA CCC-SLP
Speech-Language Pathologist
2185 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 839-3200
TIMOTHY WONG LMFT
Marriage & Family Therapist
2185 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 839-3200
DR. NGOC SON DANG PHARMD
Pharmacist
2185 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 839-6210
STACY QUACH PHARMD
Pharmacist
2185 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 839-6210
JAMES G. STEPHEN MD
Internal Medicine
2185 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 839-3200
DR. DOREEN ANN SAMELSON EDD, MSCP
Psychologist
2185 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 839-6233
DR. NICOLE LEONA PREISS PSYD
Psychologist
2185 W GRANT LINE RD, PSYCHIATRY
TRACY, CA 95377
San Joaquin County (209) 839-6252

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elena Costa's NPI number?

The NPI number for Elena Costa is 1033288931. It was assigned to this individual provider in the NPPES registry on November 6, 2006. The provider is also known as Elena Gallardo Arroyo.

Where is Elena Costa located?

Elena Costa practices at 2185 W Grant Line Rd, Tracy, CA 95377. The listed phone number is (209) 839-3300.

What is Elena Costa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Elena Costa enrolled in Medicare?

Yes. Elena Costa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Elena Costa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elena Costa reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elena Costa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elena Costa was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.