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MR. WYATT GERBRACHT FNP
NPI 1710794615
Nurse Practitioner - Primary Care in Arroyo Grande, CA

Active since December 13, 2024PECOS Enrolled
880 OAK PARK BLVD STE 201, ARROYO GRANDE, CA 93420(805) 473-8346 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Wyatt Gerbracht Fnp NPPES

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

MR. WYATT GERBRACHT FNP (NPI 1710794615) is an individual primary care provider in Arroyo Grande, California, licensed in California (95033182) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710794615
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameMR. WYATT GERBRACHTCredential: FNP
Location Address880 OAK PARK BLVD STE 201Arroyo Grande, CA 93420-1821
Mailing Address1615 Longbranch AveGrover Beach, CA 93433-2557 · (805) 602-1112
Phone(805) 473-8346
Sole ProprietorYes
Enumeration DateDecember 13, 2024
NPPES CertifiedDecember 13, 2024
✔ NPI 1710794615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 95033182
880 OAK PARK BLVD STE 201, Arroyo Grande, CA 93420
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Wyatt Gerbracht Fnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Wyatt Gerbracht reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Spearman MD Inc.
0.1 mi
Vascular & Interventional Radiology
901 OAK PARK BLVD STE 103
Pismo Beach, CA 93449
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1508249202 (805) 888-4744

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93420 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
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
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 2

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

DANIEL PERRY PA-C
Physician Assistant (Surgical)
880 OAK PARK BLVD STE 201
ARROYO GRANDE, CA 93420
San Luis Obispo County (805) 473-8346
DR. KENNETH A. SPEARMAN MD
Radiology (Vascular & Interventional Radiology)
880 OAK PARK BLVD STE 201
ARROYO GRANDE, CA 93420
San Luis Obispo County (805) 473-8346

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 Wyatt Gerbracht's NPI number?

The NPI number for Wyatt Gerbracht is 1710794615. It was assigned to this individual provider in the NPPES registry on December 13, 2024.

Where is Wyatt Gerbracht located?

Wyatt Gerbracht practices at 880 Oak Park Blvd Ste 201, Arroyo Grande, CA 93420. The listed phone number is (805) 473-8346.

What is Wyatt Gerbracht's specialty?

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

Is Wyatt Gerbracht enrolled in Medicare?

Yes. Wyatt Gerbracht is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Wyatt Gerbracht's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wyatt Gerbracht reassigns Medicare benefits to Spearman MD Inc. (Pismo Beach, CA). The 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 Wyatt Gerbracht'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 Wyatt Gerbracht was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.