ELIZABETH GRUBER
NPI 1104518570
Nurse Practitioner - Psychiatric/Mental Health in San Rafael, CA

Q: What is Elizabeth Gruber's NPI number?

The NPI number for Elizabeth Gruber is 1104518570. It was assigned to this individual provider in the NPPES registry on May 24, 2023.

Q: What is Elizabeth Gruber's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Gruber was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since May 24, 2023PECOS Enrolled

1466 LINCOLN AVE, SAN RAFAEL, CA 94901(502) 702-9929 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 7, 2025, May 24, 2023 (2 updates tracked since 2023).

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About Elizabeth Gruber NPPES

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

ELIZABETH GRUBER (NPI 1104518570) is an individual psychiatric/mental health provider in San Rafael, California, licensed in California (95033940) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104518570

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameELIZABETH GRUBER

Location Address1466 LINCOLN AVESan Rafael, CA 94901-2021

Mailing Address18 2nd St Unit ASausalito, CA 94965-2542 · (502) 702-9929

Phone(502) 702-9929

Sole ProprietorNo

Enumeration DateMay 24, 2023

Last NPPES UpdateMarch 7, 20252 updates tracked since enumeration

NPPES CertifiedMarch 7, 2025

✔ NPI 1104518570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in CA · 95033940✔ Licensed in CO · APN.0998727-NP

1466 LINCOLN AVE, San Rafael, CA 94901

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Gruber 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.

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Gruber reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Uhs Of Centennial Peaks LLC

944 mi

Psychiatric Hospital

2255 S 88TH ST
Louisville, CO 80027

Reassigned Medicare billing, Colorado enrollment
28 clinicians in this Medicare group

NPI 1760623888 (303) 673-9990

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

43 services18 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94901 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

$104.67 typical visit price

range $69.07 – $202.63

Typical copayment $26.16 (range $17.26 – $50.65)

Most-billed visit code 99203

Established Patient

$119.61 typical visit price

range $23.44 – $166.64

Typical copayment $29.90 (range $5.86 – $41.66)

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.

CHRISTOPHER A JEFFERSON

Marriage & Family Therapist