GERMAN BADILLA GORDOVE JR. RN, PCCN, AGACNP-BC
NPI 1932937174
Nurse Practitioner - Acute Care in Sacramento, CA

Active since July 22, 2024PECOS EnrolledAccepts Medicare Assignment
2315 STOCKTON BLVD, SACRAMENTO, CA 95817(916) 734-5590 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2024, Jul 22, 2024 (2 updates tracked since 2024).

About German Badilla Gordove Jr. Rn, Pccn, Agacnp-bc NPPES

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

GERMAN BADILLA GORDOVE JR. RN, PCCN, AGACNP-BC (NPI 1932937174) is an individual acute care provider in Sacramento, California, licensed in California (95030128) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1932937174
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameGERMAN BADILLA GORDOVE JR.Credential: RN, PCCN, AGACNP-BC
Location Address2315 STOCKTON BLVDSacramento, CA 95817-2201
Mailing Address3375 Alma St Apt 181Palo Alto, CA 94306-3517 · (406) 240-4876
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 22, 2024
Last NPPES UpdateSeptember 17, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
NPI 1932937174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in CA · 95030128
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 95030128 (CA)
2315 STOCKTON BLVD, Sacramento, CA 95817

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

German Badilla Gordove Jr. Rn, Pccn, Agacnp-bc 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 ID4385172642
PECOS Enrollment IDI20250114002609
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 95817 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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 20

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

Social Worker (Clinical)
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Registered Nurse
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Emergency Medicine
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Specialist
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Surgery (Pediatric Surgery)
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Physical Therapy Assistant
2315 STOCKTON BLVD, ROOM 0512
SACRAMENTO, CA 95817
Occupational Therapist
2315 STOCKTON BLVD
SACRAMENTO, CA 95817

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 German Gordove's NPI number?

The NPI number for German Gordove is 1932937174. It was assigned to this individual provider in the NPPES registry on July 22, 2024.

Where is German Gordove located?

German Gordove practices at 2315 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (916) 734-5590.

What is German Gordove's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is German Gordove enrolled in Medicare?

Yes. German Gordove 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 German Gordove was last updated on September 17, 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.