NICOLE GAMACHE FNP-C
NPI 1669733051
Nurse Practitioner - Primary Care in Petaluma, CA

Q: What is Nicole Gamache's NPI number?

The NPI number for Nicole Gamache is 1669733051. It was assigned to this individual provider in the NPPES registry on June 3, 2012.

Q: What is Nicole Gamache's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Gamache was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 03, 2012PECOS Enrolled

3900 LAKEVILLE HWY, PETALUMA, CA 94954(707) 765-3900 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 9, 2025, Jan 9, 2020, Oct 11, 2018 and 2 more (5 updates tracked since 2016).

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About Nicole Gamache Fnp-c NPPES

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

NICOLE GAMACHE FNP-C (NPI 1669733051) is an individual primary care provider in Petaluma, California, licensed in California (95023692) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669733051

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameNICOLE GAMACHECredential: FNP-C

Location Address3900 LAKEVILLE HWYPetaluma, CA 94954-5698

Mailing Address3900 Lakeville HwyPetaluma, CA 94954-5698 · (707) 765-3900

Phone(707) 765-3900

Sole ProprietorNo

Enumeration DateJune 3, 2012

Last NPPES UpdateJuly 9, 20255 updates tracked since enumeration

NPPES CertifiedJuly 9, 2025

✔ NPI 1669733051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in CA · 95023692

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APN.0992744-NP (CO), AP09953 (LA)

3900 LAKEVILLE HWY, Petaluma, CA 94954

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Gamache Fnp-c 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 94954 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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.

DANIEL G WHITE MD

Family Medicine