Individual provider Active NPI

Doe Denise Gasque, FNP-C

  • Family Nurse Practitioner
  • Apple Valley, CA
National Provider Identifier
1982855698
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R33733 Issued in ND
Practice address
14758 Hopi Rd
Apple Valley, CA 92307-3536
Phone
(760) 486-1492
NPI assigned
Oct 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R33733 ND Primary

Addresses

Primary practice location

14758 Hopi Rd
Apple Valley, CA 92307-3536

Mailing address

14758 Hopi Rd
Apple Valley, CA 92307-3536
Phone (760) 486-1492

Other identifiers 4

IdentifierTypeStateIssuer
002401MedicaidND
556679OtherCACALIFORNIA BOARD OF NURSING
R33733OtherNDND NURSING
17731OtherCACALIFORNIA BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111208000710 CA Practitioner - Nurse Practitioner 6901967827 Reassigns benefits to 1 organization
I20160610000654 TX Practitioner - Nurse Practitioner 6901967827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

19333 Bear Valley Rd
Suite 101
Apple Valley, CA 92308-5149
Phone (760) 240-6749

Hospital & facility affiliations

  • Providence Home Health High Desert Home health agency, Hesperia, CA, CCN 059315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R33733NDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Current Accepting new patients
Riverside-San Bernardino County Indian Health, Inc CurrentSince Jan 17, 2016 Accepting new patients
Riverside-San Bernardino County Indian Health, Inc. CurrentSince Jan 17, 2016 Accepting new patients
Providence Medical Foundation CurrentSince Jun 7, 2023 Accepting new patients
Riverside-San Bernardino County Indian Health, Inc. Current Accepting new patients
Providence Medical Foundation CurrentSince Jun 7, 2023 Accepting new patients
Dap Health, Inc. Current Accepting new patients
Three Affiliated Tribes Parshall Health Care Center Past Accepting new patients
Keen Medical Group Inc PastSince Oct 1, 2016 Accepting new patients

Locations

19333 Bear Valley Rd
Ste 106
Apple Valley, CA 92308
Phone (760) 240-5505

19333 Bear Valley Rd
Ste 101
Apple Valley, CA 92308
Phone (760) 240-3784

11980 Mount Vernon Ave
Grand Terrace, CA 92313
Phone (909) 783-8470

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

Interoperability endpoints

  • Direct secure messaging: dgasque@borregomedical.directbygreenway.com

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1982855698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14758 HOPI RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923073536",
            "telephone_number": "760-486-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14758 HOPI RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923073536",
            "telephone_number": "760-486-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASQUE",
        "first_name": "DOE",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R33733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002401",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF NURSING",
            "identifier": "556679",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND NURSING",
            "identifier": "R33733",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF NURSING",
            "identifier": "17731",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.