1. Home
  2. Directory
  3. California
  4. Santa Ana
  5. Nurse Practitioner
  6. NPI Profile

MICHELLE DEVEZA GULLY
NPI 1801557947
Nurse Practitioner - Family in Santa Ana, CA

Active since December 30, 2021PECOS EnrolledAccepts Medicare Assignment
809 S MAIN ST # 1, SANTA ANA, CA 92701(714) 973-7770 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 Santa Ana, 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

NPI1801557947
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE DEVEZA GULLY
Location Address809 S MAIN ST # 1Santa Ana, CA 92701-6605
Mailing Address809 S Main St Apt ASanta Ana, CA 92701-6605 · (714) 973-7770
Phone(714) 973-7770
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 30, 2021
NPPES CertifiedDecember 30, 2021
✔ NPI 1801557947 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 · 95019468
809 S MAIN ST # 1, Santa Ana, CA 92701
Open in Google Maps ↗

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.

PECOS PAC ID9638535966
PECOS Enrollment IDI20230511002427
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 92701 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 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 809 S Main St # 1, Santa Ana, CA 92701. The listed phone number is (714) 973-7770.

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 December 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.