1. Home
  2. Directory
  3. Washington
  4. Bellevue
  5. Nurse Practitioner
  6. NPI Profile

MRS. GAIL PEARSON NP
NPI 1164551214
Nurse Practitioner - Primary Care in Bellevue, WA

Active since March 05, 2007PECOS EnrolledAccepts Medicare Assignment
1135 116TH AVE NE STE 560, BELLEVUE, WA 98004(253) 272-5127 Get Directions Write a Review

NPPES record last updated: January 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 31, 2026, Jul 2, 2025, Feb 5, 2025 and 1 more (4 updates tracked since 2015).

About Mrs. Gail Pearson Np NPPES

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

MRS. GAIL PEARSON NP (NPI 1164551214) is an individual primary care provider in Bellevue, Washington, licensed in Oregon (10024559) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164551214
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. GAIL PEARSONCredential: NP
Location Address1135 116TH AVE NE STE 560Bellevue, WA 98004-4631
Mailing Address6057 E Highway 36Olympia, KY 40358-8501 · (303) 808-0472
Phone(253) 272-5127
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMarch 5, 2007
Last NPPES UpdateJanuary 31, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2026
✔ NPI 1164551214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in OR · 10024559
Also ListedNurse PractitionerTaxonomy 363L00000X · License 10024559 (CO)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 4005655 (KY), 2671159 (ID), 61321876 (WA)
1135 116TH AVE NE STE 560, Bellevue, WA 98004
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12940 N Circle DrColorado Springs, CO 80909-1160 · Phone (719) 635-7321
Location 22200 NE Neff Rd Ste 302Bend, OR 97701-4279 · Phone (541) 706-4220

Other Identifiers 1

Medicaid60887010CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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

Mrs. Gail Pearson Np 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 ID6002862257
PECOS Enrollment IDI20050330000818, I20221118002303, I20250103000396, I20260311002823, I20260504005671
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
56 services54 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services49 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380047
Location2500 NE Neff RoadBend, OR 97701 · Deschutes County
Emergency services Birthing friendly

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
64%408 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%1,364 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%1,738 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%421 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
23%1,102 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
37%1,014 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 95% · 592 patients
88%251 patients4/55-star benchmark: 98%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
49%251 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
93%1,102 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
68%1,102 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
68%1,102 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNIE SHIQIONG HONG M.D.
Internal Medicine (Gastroenterology)
1135 116TH AVE NE STE 560
BELLEVUE, WA 98004
King County (425) 454-4768

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 Gail Pearson's NPI number?

The NPI number for Gail Pearson is 1164551214. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Gail Pearson located?

Gail Pearson practices at 1135 116th Ave NE Ste 560, Bellevue, WA 98004. The listed phone number is (253) 272-5127.

What is Gail Pearson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Gail Pearson enrolled in Medicare?

Yes. Gail Pearson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gail Pearson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Gail Pearson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gail Pearson affiliated with any hospitals?

According to CMS data, Gail Pearson is affiliated with St Charles Medical Center - Bend and Tacoma General Allenmore Hospital.

When was this NPI record last updated?

The NPPES record for Gail Pearson was last updated on January 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.