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AMSALE GUGESSA NURSE PRACTITIONER
NPI 1396266987
Nurse Practitioner - Family in Oakland, CA

Active since July 05, 2017PECOS Enrolled
9925 INTERNATIONAL BLVD, OAKLAND, CA 94603(510) 777-1177 Get Directions Write a Review

NPPES record last updated: July 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amsale Gugessa Nurse Practitioner NPPES

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

AMSALE GUGESSA NURSE PRACTITIONER (NPI 1396266987) is an individual family provider in Oakland, California, licensed in California (95006485) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396266987
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMSALE GUGESSACredential: NURSE PRACTITIONER
Location Address9925 INTERNATIONAL BLVDOakland, CA 94603-2558
Mailing Address1666 Parkside DrWalnut Creek, CA 94597-3561 · (925) 278-3269
Phone(510) 777-1177
Sole ProprietorNo
Enumeration DateJuly 5, 2017
✔ NPI 1396266987 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 · 95006485
9925 INTERNATIONAL BLVD, Oakland, CA 94603
Open in Google Maps ↗

Other Names 1

Professional Name (2)Amsal Gugsa Nurse Practitioner

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amsale Gugessa Nurse Practitioner 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 94603 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 20

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

SYNOUN RIN
Community Health Worker
9925 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (510) 777-1177
KYE DUREN
Case Management
9925 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (510) 777-1177
ANDREW THOMAS SANTANIELLO APCC
Counselor (Mental Health)
9925 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (510) 916-5815
CENTER FOR FAMILY COUNSELING
Community/Behavioral Health
9925 INTERNATIONAL BLVD, 6
OAKLAND, CA 94603
Alameda County (510) 562-3731
ROOTS COMMUNITY HEALTH CENTER
Clinic/Center (Primary Care)
9925 INTERNATIONAL BLVD, #5
OAKLAND, CA 94603
Alameda County (510) 777-1177
LATRINA DUMAS
Case Manager/Care Coordinator
9925 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (510) 916-0430
MS. GEORGINA GISELLE GRIMM FNP
Nurse Practitioner (Family)
9925 INTERNATIONAL BLVD, #5
OAKLAND, CA 94603
Alameda County (510) 777-1177
TAVARE WILLIAMS SR.
Case Manager/Care Coordinator
9925 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (510) 998-8303

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 Amsale Gugessa's NPI number?

The NPI number for Amsale Gugessa is 1396266987. It was assigned to this individual provider in the NPPES registry on July 5, 2017. The provider is also known as Amsal Gugsa Nurse Practitioner.

Where is Amsale Gugessa located?

Amsale Gugessa practices at 9925 International Blvd, Oakland, CA 94603. The listed phone number is (510) 777-1177.

What is Amsale Gugessa's specialty?

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

Is Amsale Gugessa enrolled in Medicare?

Yes. Amsale Gugessa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amsale Gugessa was last updated on July 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.