Wyatt Gerbracht, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95033182 Issued in CA

Practice address

880 Oak Park Blvd Ste 201
Arroyo Grande, CA 93420-1821

Phone

(805) 473-8346

NPI assigned

Dec 13, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spearman MD Inc.

  • Vascular & Interventional Radiology Physician
  • Pismo Beach, CA
  • NPI 1508249202

  Single Specialty

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1710794615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 LONGBRANCH AVE",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934332557",
            "telephone_number": "805-602-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 OAK PARK BLVD STE 201",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934201821",
            "telephone_number": "805-473-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBRACHT",
        "first_name": "WYATT",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95033182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber L Gambel
• Leticia Garcia, RN
• Brendan M Gard, MS, BCBA
• Austin Garza, DC
• Elisa Geissel, RDN
• Nicole Marie Giaccone, M.S., CCC-SLP
• Lacey Gibson
• Melisha Fay Gifford
• Stephenie Dawn Gillett
• Monique Crystal Gilmore

• Primary Care Nurse Practitioner in Arroyo Grande, CA
• Providers in Arroyo Grande, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.