DR. GABRIEL KWAME MAYERSON (DNP) – Acute Care Nurse Practitioner, NPI 1306678255

DR. GABRIEL KWAME MAYERSON (DNP) is a healthcare provider. based in Lake mary, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP. They hold a License No. 11034886 (FL). The NPI Number for DR. GABRIEL KWAME MAYERSON (DNP) is 1306678255

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
DR. GABRIEL KWAME MAYERSON (DNP)
NPI
1306678255
Phone
(407) 321-8230
Address
749 Stirling Center Pl
Enumeration Date
19 August 2024
Last Update Date
9 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3869170333
Graduation Year
2024 (2 years ago)
PAC ID
1355860750
Group Practice PAC ID
3779474333
Professional Enrollment ID
I20250529001219
Address ID
FL327638360OR1075XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for DR. GABRIEL KWAME MAYERSON (DNP)

  • 749 Stirling Center Pl

    Lake Mary, FL 327464856

    Phone: (407) 321-8230

    Type: Location

  • 1075 TOWN CENTER DR

    ORANGE CITY, FL 327638360

    Phone: (386) 917-0333

    Fax: (386) 917-0335

    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: 2025-05-29

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
I20250529001219INurse PractitionerFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32746)

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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: 3779474333View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerMI
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineAL
Internal Medicine, Pulmonary DiseaseFL
Pulmonary Disease, Critical Care (Intensivists)AL
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Pulmonary DiseaseFL

Reviews

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Frequently asked questions

How do payers reference DR. GABRIEL KWAME MAYERSON (DNP)?
For DR. GABRIEL KWAME MAYERSON (DNP), use NPI 1306678255 as the unique 10-digit identifier.
Is DR. GABRIEL KWAME MAYERSON (DNP) still an active registrant?
DR. GABRIEL KWAME MAYERSON (DNP) carries an active NPI according to the public dataset.
What kind of doctor is DR. GABRIEL KWAME MAYERSON (DNP)?
DR. GABRIEL KWAME MAYERSON (DNP) is associated with Acute Care Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. GABRIEL KWAME MAYERSON (DNP)?
Travel planning: use Lake Mary, Florida as the reference point for DR. GABRIEL KWAME MAYERSON (DNP), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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