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GRETCHEN SANTOS FULGENCIO RN, NP
NPI 1326421884
Nurse Practitioner - Family in Berkeley, CA

Active since July 02, 2015PECOS EnrolledAccepts Medicare Assignment
74.46/100
CMS Quality Rating
3100 SAN PABLO AVE., SUITE 430, BERKELEY, CA 94702(415) 476-3369(510) 985-5202 Get Directions Write a Review

NPPES record last updated: March 4, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Gretchen Santos Fulgencio Rn, Np NPPES

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

GRETCHEN SANTOS FULGENCIO RN, NP (NPI 1326421884) is an individual family provider in Berkeley, California, licensed in California (22811) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1326421884
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGRETCHEN SANTOS FULGENCIOCredential: RN, NP
Location Address3100 SAN PABLO AVE., SUITE 430Berkeley, CA 94702
Mailing Address3100 San Pablo Ave., Suite 430Berkeley, CA 94702 · (415) 476-3369 · Fax (510) 985-5202
Phone(415) 476-3369
Fax(510) 985-5202
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 2, 2015
Last NPPES UpdateMarch 4, 2020
NPPES CertifiedMarch 4, 2020
✔ NPI 1326421884 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 · 22811
Also ListedRegistered Nurse · OncologyTaxonomy 163WX0200X · License 676689 (CA)
3100 SAN PABLO AVE., Berkeley, CA 94702
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Other Names 1

Former Name (1)Gretchen Torrijos Santos Rn, Np

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

Gretchen Santos Fulgencio Rn, 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 ID2365750007
PECOS Enrollment IDI20150930001553
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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
136 services100 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
29 services24 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
29 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94702 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

74.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability76
Improvement Activities40
Cost46.68

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers31 claims2,436 services$0.65 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers20 claims20 services$18.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

DR. CLIFTON WATT M.D.
Internal Medicine (Cardiovascular Disease)
3100 SAN PABLO AVE.
BERKELEY, CA 94702
Alameda County (510) 985-5200
NATALIE MARSHALL M.D.
Internal Medicine (Medical Oncology)
3100 SAN PABLO AVE., SUITE 430
BERKELEY, CA 94702
Alameda County (510) 420-8000

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 Gretchen Fulgencio's NPI number?

The NPI number for Gretchen Fulgencio is 1326421884. It was assigned to this individual provider in the NPPES registry on July 2, 2015. The provider is also known as Gretchen Torrijos Santos Rn, Np.

Where is Gretchen Fulgencio located?

Gretchen Fulgencio practices at 3100 San Pablo Ave. Suite 430, Berkeley, CA 94702. The listed phone number is (415) 476-3369.

What is Gretchen Fulgencio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Gretchen Fulgencio enrolled in Medicare?

Yes. Gretchen Fulgencio 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.

When was this NPI record last updated?

The NPPES record for Gretchen Fulgencio was last updated on March 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.