GRACIELLE MAE EJANDA ADVINCULA NP - NPI 1376208975 - Nurse Practitioner in El Cajon, CA

Q: What is Gracielle Mae Advincula's NPI number?

The NPI number for Gracielle Mae Advincula is 1376208975. It was assigned to this individual provider in the NPPES registry on November 8, 2021.

Q: What is Gracielle Mae Advincula's specialty?

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

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About Gracielle Mae Ejanda Advincula Np NPPES

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

GRACIELLE MAE EJANDA ADVINCULA NP (NPI 1376208975) is an individual family provider in El Cajon, California, licensed in California (95018873) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1376208975

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameGRACIELLE MAE EJANDA ADVINCULACredential: NP

Location Address1306 BROADWAYEl Cajon, CA 92021-5810

Mailing Address2177 Diamondback Ct Unit 21Chula Vista, CA 91915-2900 · (909) 231-4348

Phone(619) 551-7400

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 8, 2021

NPPES CertifiedNovember 8, 2021

✔ NPI 1376208975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95018873

1306 BROADWAY, El Cajon, CA 92021

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Other Identifiers 1

Other95018873CA · Np State License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gracielle Mae Ejanda Advincula Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052893922

PECOS Enrollment IDI20260302000644

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 92021 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 6

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

CHRISTAL MARTH RDN

Dietitian, Registered