Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MARY JUDE GABRIELSON CFNP
NPI 1356331573
Nurse Practitioner - Pediatrics in San Ramon, CA

Active since October 27, 2005PECOS Enrolled
200 PORTER DRIVE, SUITE 300, SAN RAMON, CA 94583(925) 838-6500(925) 838-6542 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Jude Gabrielson Cfnp NPPES

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

MARY JUDE GABRIELSON CFNP (NPI 1356331573) is an individual pediatrics provider in San Ramon, California, licensed in California (NPF7083) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356331573
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARY JUDE GABRIELSONCredential: CFNP
Location Address200 PORTER DRIVE, SUITE 300San Ramon, CA 94583-1524
Mailing Address200 Porter Drive, Suite 300San Ramon, CA 94583-1524 · (925) 838-6511 · Fax (925) 838-6544
Fax(925) 838-6542
Sole ProprietorNo
Enumeration DateOctober 27, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1356331573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in CA · NPF7083
200 PORTER DRIVE, San Ramon, CA 94583

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mary Jude Gabrielson Cfnp 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 94583 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.

Other Providers at the Same Location NPPES 10

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

Internal Medicine
200 PORTER DRIVE, SUITE 300
SAN RAMON, CA 94583
Family Medicine
200 PORTER DRIVE, SUITE 300
SAN RAMON, CA 94583
Clinic/Center (Community Health)
200 PORTER DRIVE
SAN RAMON, CA 94583
Internal Medicine
200 PORTER DRIVE, SUITE 300
SAN RAMON, CA 94583
Pediatrics
200 PORTER DRIVE, SUITE 300
SAN RAMON, CA 94583
Clinic/Center (Ambulatory Surgical)
200 PORTER DRIVE, SUITE 100
SAN RAMON, CA 94583
Pediatrics
200 PORTER DRIVE, SUITE 300
SAN RAMON, CA 94583
Pediatrics
200 PORTER DRIVE, SUITE 300
SAN RAMON, CA 94583

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 Mary Gabrielson's NPI number?

The NPI number for Mary Gabrielson is 1356331573. It was assigned to this individual provider in the NPPES registry on October 27, 2005.

Where is Mary Gabrielson located?

Mary Gabrielson practices at 200 Porter Drive Suite 300, San Ramon, CA 94583. The listed phone number is (925) 838-6500.

What is Mary Gabrielson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Mary Gabrielson enrolled in Medicare?

Yes. Mary Gabrielson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Gabrielson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.