MICHELLE DEVEZA GULLY
NPI 1801557947
Nurse Practitioner - Family in San Diego, CA
About Michelle Deveza Gully NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELLE DEVEZA GULLY (NPI 1801557947) is an individual family provider in San Diego, California, licensed in California (95019468) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Michelle Deveza Gully 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92126 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 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92126
SAN DIEGO, CA 92126
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 Michelle Gully's NPI number?
The NPI number for Michelle Gully is 1801557947. It was assigned to this individual provider in the NPPES registry on December 30, 2021.
Where is Michelle Gully located?
Michelle Gully practices at 10737 Camino Ruiz Ste 235, San Diego, CA 92126. The listed phone number is (844) 200-2426.
What is Michelle Gully's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Michelle Gully enrolled in Medicare?
Yes. Michelle Gully 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 Michelle Gully was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.
# Michelle Deveza Gully · NPI 1801557947
Family physician in San Diego, California. Individual provider, active in the CMS NPPES registry since December 30, 2021.
## Identity
- **NPI:** 1801557947 (Entity type: Individual)
- **Enumerated:** December 30, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95019468 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 10737 CAMINO RUIZ STE 235, San Diego, CA 92126-2375
- **Phone:** (844) 200-2426 · **Fax:** (619) 474-4008
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** September 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1801557947) · Data from the CMS NPPES public registry.