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MS. ROBERTA GORDIN RN, PMHNP-BC
NPI 1518458793
Nurse Practitioner - Psychiatric/Mental Health in San Rafael, CA

Active since May 23, 2018PECOS EnrolledAccepts Medicare Assignment
4040 CIVIC CENTER DR, SAN RAFAEL, CA 94903(415) 795-8050 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 3, 2026, Aug 5, 2024, May 23, 2018 (3 updates tracked since 2018).

About Ms. Roberta Gordin Rn, Pmhnp-bc NPPES

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

MS. ROBERTA GORDIN RN, PMHNP-BC (NPI 1518458793) is an individual psychiatric/mental health provider in San Rafael, California, licensed in California (95016248) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1518458793
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. ROBERTA GORDINCredential: RN, PMHNP-BC
Location Address4040 CIVIC CENTER DRSan Rafael, CA 94903-4150
Mailing Address4040 Civic Center DrSan Rafael, CA 94903-4150 · (415) 795-8050
Phone(415) 795-8050
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 23, 2018
Last NPPES UpdateFebruary 3, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1518458793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95016248
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 649332 (CA)
4040 CIVIC CENTER DR, San Rafael, CA 94903
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Ms. Roberta Gordin Rn, Pmhnp-bc 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.

PECOS PAC ID4587056866
PECOS Enrollment IDI20220118002247
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services12 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94903 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
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$119.61 typical visit price
range $23.44 – $166.64
Typical copayment $29.90 (range $5.86 – $41.66)
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 3

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

DR. JACOB PANQUALE PANZARELLA PH.D.
Clinical Neuropsychologist
4040 CIVIC CENTER DR, SUITE 200
SAN RAFAEL, CA 94903
Marin County (415) 381-0300
DR. MEREDEE CRUTCHER PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4040 CIVIC CENTER DR, SUITE 200
SAN RAFAEL, CA 94903
Marin County (415) 721-3562
SALLY DAGANZO, MD INC
Internal Medicine
4040 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (415) 249-2580

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 Roberta Gordin's NPI number?

The NPI number for Roberta Gordin is 1518458793. It was assigned to this individual provider in the NPPES registry on May 23, 2018.

Where is Roberta Gordin located?

Roberta Gordin practices at 4040 Civic Center Dr, San Rafael, CA 94903. The listed phone number is (415) 795-8050.

What is Roberta Gordin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Roberta Gordin enrolled in Medicare?

Yes. Roberta Gordin 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.

What insurance does Roberta Gordin accept?

Health plans from Providence Health Plan list Roberta Gordin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roberta Gordin was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.