GINA LEE BERKLEY NP
NPI 1053040816
Nurse Practitioner in Stanford, CA

Active since June 07, 2022PECOS Enrolled
300 PASTEUR DR, STANFORD, CA 94305(650) 498-3333 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2025, Jul 9, 2024, Jul 11, 2022 and 1 more (4 updates tracked since 2022).

About Gina Lee Berkley Np NPPES

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

GINA LEE BERKLEY NP (NPI 1053040816) is an individual nurse practitioner in Stanford, California, licensed in California (95030669) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053040816
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameGINA LEE BERKLEYCredential: NP
Location Address300 PASTEUR DRStanford, CA 94305-2200
Mailing Address300 Pasteur DrStanford, CA 94305-2200 · (650) 723-4000
Sole ProprietorNo
Enumeration DateJune 7, 2022
Last NPPES UpdateMarch 6, 20254 updates tracked since enumeration
NPPES CertifiedMarch 6, 2025
NPI 1053040816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 95030669
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.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 4704341531 (MI)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 4704341531 (MI)
300 PASTEUR DR, Stanford, CA 94305

Other Names 1

Former Name (1)Gina Lee Cannon Np-bc

Secondary Practice Locations 2

Location 14664 Tiger Lily TrlClarkston, MI 48346-4982 · Phone (248) 909-7133
Location 21031 Suncrest DrLapeer, MI 48446-1136 · Phone (810) 664-4870 · Fax (810) 664-0921

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Gina Lee Berkley Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94305 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

Internal Medicine (Gastroenterology)
300 PASTEUR DR, ALWAY BUILD M211, MC 5187
STANFORD, CA 94305
Radiology (Vascular & Interventional Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
STANFORD, CA 94305
Radiology (Diagnostic Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Nurse Practitioner
300 PASTEUR DR
STANFORD, CA 94305
Neurological Surgery
300 PASTEUR DR
STANFORD, CA 94305
Pathology (Anatomic Pathology & Clinical Pathology)
300 PASTEUR DR, LANE 235
STANFORD, CA 94305
Internal Medicine (Critical Care Medicine)
300 PASTEUR DR
STANFORD, CA 94305

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 Gina Berkley's NPI number?

The NPI number for Gina Berkley is 1053040816. It was assigned to this individual provider in the NPPES registry on June 7, 2022. The provider is also known as Gina Lee Cannon Np-Bc.

Where is Gina Berkley located?

Gina Berkley practices at 300 Pasteur Dr, Stanford, CA 94305. The listed phone number is (650) 498-3333.

What is Gina Berkley's specialty?

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

Is Gina Berkley enrolled in Medicare?

Yes. Gina Berkley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gina Berkley was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.