STRACEY GORDON CRNP
NPI 1710176730
Nurse Practitioner - Family in Oakland, CA

Active since October 16, 2007PECOS EnrolledAccepts Medicare Assignment
91.04/100
CMS Quality Rating
2950 INTERNATIONAL BLVD, OAKLAND, CA 94601(510) 535-4400 Get Directions Write a Review

NPPES record last updated: February 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stracey Gordon Crnp NPPES

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

STRACEY GORDON CRNP (NPI 1710176730) is an individual family provider in Oakland, California, licensed in California (18949) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1710176730
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTRACEY GORDONCredential: CRNP
Location Address2950 INTERNATIONAL BLVDOakland, CA 94601-2228
Mailing Address2950 International BlvdOakland, CA 94601-2228 · (510) 535-4400
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 16, 2007
Last NPPES UpdateFebruary 26, 2016
NPI 1710176730 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 · 18949
2950 INTERNATIONAL BLVD, Oakland, CA 94601

Other Identifiers 1

Other18949CA · Np

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

Stracey Gordon Crnp 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 ID1951525567
PECOS Enrollment IDI20140620000699
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 94601 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.

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.

91.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Promoting Interoperability100
Improvement Activities40
Cost64.1

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier18 claims18 services$2.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Dental Hygienist
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601
Nurse Practitioner (Family)
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601
Registered Nurse
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601
Registered Nurse
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601
Internal Medicine
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601
Social Worker (Clinical)
2950 INTERNATIONAL BLVD, NATIVE AMERICAN HEALTH CENTER
OAKLAND, CA 94601
Family Medicine
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601
Dentist
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601

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 Stracey Gordon's NPI number?

The NPI number for Stracey Gordon is 1710176730. It was assigned to this individual provider in the NPPES registry on October 16, 2007.

Where is Stracey Gordon located?

Stracey Gordon practices at 2950 International Blvd, Oakland, CA 94601. The listed phone number is (510) 535-4400.

What is Stracey Gordon's specialty?

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

Is Stracey Gordon enrolled in Medicare?

Yes. Stracey Gordon 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 Stracey Gordon was last updated on February 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.