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GRETCHEN LORRAINE NIEVES-BURGOS MD
NPI 1790394286
Family Medicine in Yabucoa, PR

Active since July 30, 2020PECOS Enrolled
CARR 901 KM1.6 BARRIO JUAN MARTIN, YABUCOA, PR 00767(787) 739-8182 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2026, Jun 3, 2024, Jul 30, 2020 (3 updates tracked since 2020).

About Gretchen Lorraine Nieves-burgos Md NPPES

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

GRETCHEN LORRAINE NIEVES-BURGOS MD (NPI 1790394286) is an individual family medicine provider in Yabucoa, Puerto Rico, licensed in Puerto Rico (23848) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790394286
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameGRETCHEN LORRAINE NIEVES-BURGOSCredential: MD
Location AddressCARR 901 KM1.6 BARRIO JUAN MARTINYabucoa, PR 00767-0067
Mailing AddressPo Box 1330Cidra, PR 00739 · (787) 739-8182
Phone(787) 739-8182
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 30, 2020
Last NPPES UpdateAugust 5, 20263 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1790394286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PR · 23848
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gretchen Lorraine Nieves-burgos Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123592292
PECOS Enrollment IDI20260630003445
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 Gretchen Nieves-burgos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cossma Inc
Primary Care
AVE EL JIBARO CARR 172 KM 13 5
Cidra, PR 00739
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 86 clinicians in this Medicare group
NPI 1437235793 (787) 739-8182

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 00767 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
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
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.

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 Gretchen Nieves-burgos's NPI number?

The NPI number for Gretchen Nieves-burgos is 1790394286. It was assigned to this individual provider in the NPPES registry on July 30, 2020.

Where is Gretchen Nieves-burgos located?

Gretchen Nieves-burgos practices at Carr 901 Km1.6 Barrio Juan Martin, Yabucoa, PR 00767. The listed phone number is (787) 739-8182.

What is Gretchen Nieves-burgos's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gretchen Nieves-burgos enrolled in Medicare?

Yes. Gretchen Nieves-burgos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gretchen Nieves-burgos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gretchen Nieves-burgos reassigns Medicare benefits to Cossma Inc (Cidra, PR). 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 Gretchen Nieves-burgos'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 Gretchen Nieves-burgos was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.