MS. ROBERTA GORDIN RN, PMHNP-BC
NPI 1518458793
Nurse Practitioner - Psychiatric/Mental Health in San Rafael, CA
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
8Medicare enrollment records show Roberta Gordin reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Rafael, CA 94903
- Reassigned Medicare billing, California enrollment
- 10 clinicians in this Medicare group
San Jose, CA 95119
- Reassigned Medicare billing, California enrollment
- 81 clinicians in this Medicare group
Fresno, CA 93710
- Reassigned Medicare billing, California enrollment
- 7 clinicians in this Medicare group
Visalia, CA 93291
- Reassigned Medicare billing, California enrollment
- 45 clinicians in this Medicare group
Gardena, CA 90248
- Reassigned Medicare billing, California enrollment
- 375 clinicians in this Medicare group
Orange, CA 92868
- Reassigned Medicare billing, California enrollment
- 16 clinicians in this Medicare group
Santa Ana, CA 92706
- Reassigned Medicare billing, California enrollment
- 182 clinicians in this Medicare group
Carlsbad, CA 92008
- Reassigned Medicare billing, California enrollment
- 223 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.
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.
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.
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.
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
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.
Which organizations bill Medicare for Roberta Gordin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Roberta Gordin reassigns Medicare benefits to 8 organizations: Clarity-James Medical Services Corp (San Rafael, CA), Sondermind PC (San Jose, CA), A Mind Above, A Professional Psychology Corporation (Fresno, CA), Achievements Unlimited Clinical Psychology Services, Inc. (Visalia, CA), Ehab Yacoub MD Inc. (Gardena, CA) and 3 more organizations, listed in the Medicare section above. Each 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 Roberta Gordin'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 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 8 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.
# Ms. Roberta Gordin, RN, PMHNP-BC · NPI 1518458793
Psychiatric/Mental Health physician in San Rafael, California. Individual provider, active in the CMS NPPES registry since May 23, 2018.
## Identity
- **NPI:** 1518458793 (Entity type: Individual)
- **Enumerated:** May 23, 2018
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95016248 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4040 CIVIC CENTER DR, San Rafael, CA 94903-4150
- **Phone:** (415) 795-8050
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Clarity-James Medical Services Corp (NPI 1972192953, San Rafael, CA); Sondermind PC (NPI 1003646977, San Jose, CA); A Mind Above, A Professional Psychology Corporation (NPI 1669039327, Fresno, CA); Achievements Unlimited Clinical Psychology Services, Inc. (NPI 1972953875, Visalia, CA); Ehab Yacoub MD Inc. (NPI 1417373713, Gardena, CA); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** February 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1518458793) · Data from the CMS NPPES public registry.