GRACIELLE MAE EJANDA ADVINCULA NP
NPI 1376208975
Nurse Practitioner - Family in El Cajon, CA
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
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gracielle Mae Ejanda Advincula Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Gracielle Mae Advincula reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
El Cajon, CA 92020
- Reassigned Medicare billing, California enrollment
- 577 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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 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.
Where is Gracielle Mae Advincula located?
Gracielle Mae Advincula practices at 1306 Broadway, El Cajon, CA 92021. The listed phone number is (619) 551-7400.
What is Gracielle Mae Advincula's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Gracielle Mae Advincula enrolled in Medicare?
Yes. Gracielle Mae Advincula is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Gracielle Mae Advincula's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gracielle Mae Advincula reassigns Medicare benefits to Centro De Salud De La Comunidad De San Ysidro, Inc. (El Cajon, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gracielle Mae Advincula's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Gracielle Mae Advincula was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Gracielle Mae Ejanda Advincula, NP · NPI 1376208975
Family physician in El Cajon, California. Individual provider, active in the CMS NPPES registry since November 8, 2021.
## Identity
- **NPI:** 1376208975 (Entity type: Individual)
- **Enumerated:** November 8, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95018873 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1306 BROADWAY, El Cajon, CA 92021-5810
- **Phone:** (619) 551-7400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Centro De Salud De La Comunidad De San Ysidro, Inc. (NPI 1568845741, El Cajon, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 8, 2021
- **Other identifiers:** Other 95018873 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1376208975) · Data from the CMS NPPES public registry.