ALICIA NICOLE GAMBETTI (FNP) – Family Medicine Physician, NPI 1164930640

ALICIA NICOLE GAMBETTI (FNP) is a healthcare provider. based in Fairfield, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 95008328 (CA). The NPI Number for ALICIA NICOLE GAMBETTI (FNP) is 1164930640

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
ALICIA NICOLE GAMBETTI (FNP)
NPI
1164930640
Phone
Not provided
Address
4500 BUSINESS CENTER DR
Enumeration Date
18 January 2018
Last Update Date
25 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7076464114
Graduation Year
2017 (9 years ago)
PAC ID
8224391834
Group Practice PAC ID
3274010871
Professional Enrollment ID
I20180412002460
Address ID
CA945333590FA1860XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for ALICIA NICOLE GAMBETTI (FNP)

  • 4500 BUSINESS CENTER DR

    FAIRFIELD, CA 945346888

    Phone:

    Type: Mailing

  • 1020 NUT TREE RD # 270

    VACAVILLE, CA 956874100

    Phone: (707) 646-4100

    Type: Location

  • 1860 Pennsylvania Ave Ste 300

    Fairfield, CA 945333550

    Phone: (707) 646-4100

    Type: Location

  • 241 Nut Tree Rd.

    Vacaville, CA 95687

    Phone: (707) 646-5500

    Type: Location

  • 241, Nut Tree Road, Vacaville Premium Outlets, Vacaville, Solano County, California, 95687, United States

    VACAVILLE, CA 95687

    Phone: (707) 646-5500

    Type: Location

  • Gill Drive, Concord, Contra Costa County, California, United States

    CONCORD, CA 945202232

    Phone: (510) 367-8893

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 57 Open Payments records for all available years, with a total value of $1,521.

Total Amount is formed as General ($1,521) + Research ($0) + Ownership ($0) = $1,521.

Last reported payment date: 2024-11-02 • Largest payer in this snapshot: Novo Nordisk Inc ($328).

Total Amount

$1,521

General + Research + Ownership

Payments

57

Total payment records

General Amount

$1,521

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-04-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180412002460INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2014$0
View full utilization report →

Insurance plans in this area (ZIP 94534)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274010871View full group profile
NameSpecialtyState
Family PracticeCA
Nurse PractitionerCA
Infectious DiseaseCA
Physician AssistantCA
Emergency MedicineCA
Nurse PractitionerCA
Physical Therapist In Private PracticeCA
Pulmonary Disease, Allergy/ImmunologyCA
Family PracticeCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

Is there an official ID for ALICIA NICOLE GAMBETTI (FNP) in U.S. healthcare records?
The official identifier for ALICIA NICOLE GAMBETTI (FNP) is NPI 1164930640.
Is there an active status for ALICIA NICOLE GAMBETTI (FNP)?
For scheduling context, ALICIA NICOLE GAMBETTI (FNP) is shown as active in the registry.
What kind of doctor is ALICIA NICOLE GAMBETTI (FNP)?
ALICIA NICOLE GAMBETTI (FNP) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is ALICIA NICOLE GAMBETTI (FNP) located near Fairfield?
ALICIA NICOLE GAMBETTI (FNP) currently maps to Fairfield, California in this extract.
When was this NPI issued?
Enumeration for ALICIA NICOLE GAMBETTI (FNP) is noted as January 18, 2018 where the registry provides it.

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