GLORIA GRACE GISTAND
NPI 1417521402
Physician Assistant in Vallejo, CA
About Gloria Grace Gistand NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GLORIA GRACE GISTAND (NPI 1417521402) is an individual physician assistant in Vallejo, California, licensed in California (PA61344) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
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
Gloria Grace Gistand 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94592 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Gloria Gistand's NPI number?
The NPI number for Gloria Gistand is 1417521402. It was assigned to this individual provider in the NPPES registry on May 14, 2021.
Where is Gloria Gistand located?
Gloria Gistand practices at 1310 Club Dr, Vallejo, CA 94592. The listed phone number is (707) 638-5809.
What is Gloria Gistand's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Gloria Gistand enrolled in Medicare?
Yes. Gloria Gistand 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 Gloria Gistand was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Gloria Grace Gistand · NPI 1417521402
Physician Assistant physician in Vallejo, California. Individual provider, active in the CMS NPPES registry since May 14, 2021.
## Identity
- **NPI:** 1417521402 (Entity type: Individual)
- **Enumerated:** May 14, 2021
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA61344 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1310 CLUB DR, Vallejo, CA 94592-1187
- **Phone:** (707) 638-5809
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 31, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1417521402) · Data from the CMS NPPES public registry.