TRACIE LORRAINE GADLER NP
NPI 1063828671
Nurse Practitioner - Family in San Diego, CA

Active since July 02, 2014PECOS Enrolled
4077 FIFTH AVE, SAN DIEGO, CA 92103(619) 565-3892 Get Directions Write a Review

NPPES record last updated: January 19, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1063828671
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTRACIE LORRAINE GADLERCredential: NP
Location Address4077 FIFTH AVESan Diego, CA 92103-2105
Mailing Address4077 Fifth AveSan Diego, CA 92103-2105 · (619) 565-3892
Sole ProprietorNo
Enumeration DateJuly 2, 2014
Last NPPES UpdateJanuary 19, 2016
NPI 1063828671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 16862
Also ListedRegistered NurseTaxonomy 163W00000X · License 613828 (CA)
4077 FIFTH AVE, San Diego, CA 92103

Other Names 1

Former Name (1)Tracie Blake

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tracie Lorraine Gadler 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 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.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Hospitalist
4077 FIFTH AVE
SAN DIEGO, CA 92103
Clinical Nurse Specialist (Critical Care Medicine)
4077 FIFTH AVE
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE
SAN DIEGO, CA 92103
Registered Nurse (Neuroscience)
4077 FIFTH AVE
SAN DIEGO, CA 92103
Internal Medicine
4077 FIFTH AVE, MER 35
SAN DIEGO, CA 92103
Emergency Medicine
4077 FIFTH AVE
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE
SAN DIEGO, CA 92103
Nurse Practitioner (Acute Care)
4077 FIFTH AVE, TRAUMA SERVICES, MER62
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.

When was this NPI record last updated?

The NPPES record for Tracie Gadler was last updated on January 19, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.