TRACY I GASTELUM AGACNP-BC
NPI 1033921903
Nurse Practitioner - Acute Care in Modesto, CA

Q: What is Tracy Gastelum's NPI number?

The NPI number for Tracy Gastelum is 1033921903. It was assigned to this individual provider in the NPPES registry on January 27, 2025.

Q: What is Tracy Gastelum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Gastelum was last updated on January 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 27, 2025PECOS EnrolledAccepts Medicare Assignment

1700 COFFEE RD, MODESTO, CA 95355(209) 526-4500 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Tracy I Gastelum Agacnp-bc NPPES

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

TRACY I GASTELUM AGACNP-BC (NPI 1033921903) is an individual acute care provider in Modesto, California, licensed in California (95033701) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1033921903

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameTRACY I GASTELUMCredential: AGACNP-BC

Location Address1700 COFFEE RDModesto, CA 95355-2803

Mailing Address1001 N Central AveModesto, CA 95351-4804 · (209) 606-7800

Phone(209) 526-4500

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 27, 2025

NPPES CertifiedJanuary 26, 2025

✔ NPI 1033921903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in CA · 95033701

1700 COFFEE RD, Modesto, CA 95355

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tracy I Gastelum Agacnp-bc 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 ID6103336656

PECOS Enrollment IDI20250612001260

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95355 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.

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