GABRIELLE ANN PETERMAN (NP) – Nurse Practitioner, NPI 1396367165

GABRIELLE ANN PETERMAN (NP) is a healthcare provider. based in Kokomo, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 28204738A (IN). The NPI Number for GABRIELLE ANN PETERMAN (NP) is 1396367165

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
GABRIELLE ANN PETERMAN (NP)
NPI
1396367165
Phone
Not provided
Address
1907 W SYCAMORE ST
Enumeration Date
14 May 2020
Last Update Date
9 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7654565687
Graduation Year
2020 (6 years ago)
PAC ID
2264848910
Group Practice PAC ID
1153318720
Professional Enrollment ID
I20210304001721
Address ID
IN469015148KO1907XSTXX400

Contacts

Secure Messaging
gabrielle.vickerynp.p36@direct.ahni.nextgenshare.com
Secure Messaging
gabrielle.peterman.1@7598.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:6State licenses:3Other namesUpdated within 12 months

8,191 NURSE PRACTITIONER in IN

Provider Addresses for GABRIELLE ANN PETERMAN (NP)

  • 1907 W SYCAMORE ST

    KOKOMO, IN 469015148

    Phone:

    Type: Mailing

  • 10417 ROSEWOOD CT

    CARMEL, IN 460333973

    Phone: (317) 442-0312

    Type: Mailing

  • 2001 W 86TH ST

    INDIANAPOLIS, IN 462601902

    Phone: (317) 442-0312

    Type: Location

  • 1111 Ronald Reagan Pkwy Ste B1500

    Avon, IN 461237085

    Phone: (317) 217-2244

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $458.

Total Amount is formed as General ($458) + Research ($0) + Ownership ($0) = $458.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Janssen Biotech, Inc. ($219).

Total Amount

$458

General + Research + Ownership

Payments

5

Total payment records

General Amount

$458

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

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: 2021-03-04

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
I20210304001721INurse PractitionerINTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2423$0
View full utilization report →

Insurance plans in this area (ZIP 46901)

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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: 1153318720View full group profile
NameSpecialtyState
Clinical PsychologistIN
-IN
-IN
Mental Health CounselorIN
P S Y C H I A T R YIN
Psychiatry, NeurologyIN
Clinical Social WorkerIN
P S Y C H I A T R YIN
H E M A T O L O G Y/ O N C O L O G YIN
Mental Health CounselorIN

Reviews

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Frequently asked questions

Where can patients find GABRIELLE ANN PETERMAN (NP)'s NPI?
You can confirm GABRIELLE ANN PETERMAN (NP) with NPI 1396367165; it appears in the national provider directory.
Is GABRIELLE ANN PETERMAN (NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize GABRIELLE ANN PETERMAN (NP)'s specialty in plain language?
Clinically, the directory lists GABRIELLE ANN PETERMAN (NP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does GABRIELLE ANN PETERMAN (NP) practice in Indiana?
You will see Kokomo, Indiana on file for GABRIELLE ANN PETERMAN (NP) alongside any extra practice locations.
How can I contact GABRIELLE ANN PETERMAN (NP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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