Gloria Grace Gistand
NPI 1417521402ActiveIndividual· Physician Assistant· Vallejo, CA
Physician Assistant with Woodland Emergency Physicians Medical Group Inc, practicing in Vallejo, California. 210 Medicare patients in 2024, $27,133 paid; nearly all of their 177 Part D prescriptions were generic (94%). Lists Woodland Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1417521402 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | May 14, 2021 |
| Last updated in NPPES | Oct 31, 2023 |
| Certified by provider | Oct 31, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA61344 | CA |
| Physician Assistant, Medical | 363AM0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 210 |
|---|---|
| Services billed | 293 across 15 procedure codes |
| Paid by Medicare | $27,133 |
Part D prescriptions in 2024
| Prescriptions (claims) | 177 · 180 30-day fills |
|---|---|
| Patients | 121 |
| Total drug cost | $1,232 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Woodland Emergency Physicians Medical Group IncWoodland, CA · 8 clinicians
Hospital affiliation
- Woodland Memorial HospitalWoodland, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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