STEPHANIE O'BRIEN GONDA (NP) – Nurse Practitioner, NPI 1306300272
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,538 NURSE PRACTITIONER in CA
Provider Addresses for STEPHANIE O'BRIEN GONDA (NP)
4077 5TH AVE # EMS
SAN DIEGO, CA 921032105
Phone: (619) 260-7000
Type: Location
3830 VALLEY CENTRE DR STE 702
SAN DIEGO, CA 921303307
Phone: (858) 720-0554
Type: Location
13546, Sagewood Drive, Briddlewood, Poway, San Diego County, California, 92064, United States
POWAY, CA 920641730
Phone: (858) 444-5828
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2019-04-26
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190426001283 | I | Nurse Practitioner | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 61 | 52 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 58 | 58 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 41 | 38 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 37 | 37 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 33 | 33 | $0 |
Insurance plans in this area (ZIP 92103)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | CA | |
| Family Practice | CA | |
| Physician Assistant | CA | |
| Physician Assistant | AP | |
| Emergency Medicine | CA | |
| Physician Assistant | CA | |
| Family Practice | PA | |
| Emergency Medicine | CA | |
| - | TX |
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