GABRIELA L TAYLOR (PA) – Physician Assistant, NPI 1043902265

GABRIELA L TAYLOR (PA) is a healthcare provider. based in Granger, Indiana. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for GABRIELA L TAYLOR (PA) is 1043902265

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
GABRIELA L TAYLOR (PA)
NPI
1043902265
Phone
(574) 237-9294
Address
52500 Fir Rd
Enumeration Date
25 May 2023
Last Update Date
6 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5742710700
Graduation Year
2022 (4 years ago)
PAC ID
2466819156
Group Practice PAC ID
3779577937
Professional Enrollment ID
I20230612002674
Address ID
IN465308579GR52500RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:3State licenses:0Digital endpointsOther names

2,499 PHYSICIAN ASSISTANT in IN

Provider Addresses for GABRIELA L TAYLOR (PA)

  • 52500 Fir Rd

    Granger, IN 465308579

    Phone: (574) 237-9294

    Type: Location

  • 211 N EDDY ST

    SOUTH BEND, IN 466173096

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $193.

Total Amount is formed as General ($193) + Research ($0) + Ownership ($0) = $193.

Last reported payment date: 2023-09-21 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($98).

Total Amount

$193

General + Research + Ownership

Payments

2

Total payment records

General Amount

$193

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-06-12

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
I20230612002674IPhysician AssistantINTBD

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 46530)

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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: 3779577937View full group profile
NameSpecialtyState
Nurse PractitionerIN
-IN
-IN
O B S T E T R I C S/ G Y N E C O L O G YIN
-IN
Family PracticeKY
Family PracticeIN
O P H T H A L M O L O G YIN
Physician AssistantIN
Family PracticeIN

Reviews

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Frequently asked questions

How is GABRIELA L TAYLOR (PA) identified in CMS data?
CMS-hosted NPPES data lists GABRIELA L TAYLOR (PA) with NPI 1043902265.
Does CMS list GABRIELA L TAYLOR (PA) as active?
Yes — GABRIELA L TAYLOR (PA) is active in the NPI listing used on this page.
What taxonomy line describes GABRIELA L TAYLOR (PA)?
For research purposes, treat GABRIELA L TAYLOR (PA) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What area does GABRIELA L TAYLOR (PA) serve?
GABRIELA L TAYLOR (PA)'s listing highlights Granger, Indiana; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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