TRACIE LORRAINE GADLER NP
NPI 1063828671
Nurse Practitioner - Family in San Diego, CA
About Tracie Lorraine Gadler Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACIE LORRAINE GADLER NP (NPI 1063828671) is an individual family provider in San Diego, California, licensed in California (16862) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tracie Lorraine Gadler Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tracie Gadler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- 75 clinicians in this Medicare group
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 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
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 Tracie Gadler's NPI number?
The NPI number for Tracie Gadler is 1063828671. It was assigned to this individual provider in the NPPES registry on July 2, 2014. The provider is also known as Tracie Blake.
Where is Tracie Gadler located?
Tracie Gadler practices at 4077 Fifth Ave, San Diego, CA 92103. The listed phone number is (619) 565-3892.
What is Tracie Gadler's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tracie Gadler enrolled in Medicare?
Yes. Tracie Gadler is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tracie Gadler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracie Gadler reassigns Medicare benefits to Pacific Emergency Providers, A Prof. Corp. (San Diego, 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 Tracie Gadler'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 Tracie Gadler was last updated on January 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Tracie Lorraine Gadler, NP · NPI 1063828671
Family physician in San Diego, California. Individual provider, active in the CMS NPPES registry since July 2, 2014.
## Identity
- **NPI:** 1063828671 (Entity type: Individual)
- **Enumerated:** July 2, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 16862 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4077 FIFTH AVE, San Diego, CA 92103-2105
- **Phone:** (619) 565-3892
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pacific Emergency Providers, A Prof. Corp. (NPI 1497790539, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 19, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1063828671) · Data from the CMS NPPES public registry.