GABRIELLE NELSON (PA-C) – Physician Assistant, NPI 1184500464

GABRIELLE NELSON (PA-C) is a healthcare provider. based in Baltimore, Maryland. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. C0009973 (MD). The NPI Number for GABRIELLE NELSON (PA-C) is 1184500464

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
GABRIELLE NELSON (PA-C)
NPI
1184500464
Phone
Not provided
Address
2401 W BELVEDERE AVE
Enumeration Date
13 August 2025
Last Update Date
13 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2025 (1 year ago)
PAC ID
3476040908
Group Practice PAC ID
4082928098
Professional Enrollment ID
I20251016004339
Address ID
MD212155216BA2401XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

3,366 PHYSICIAN ASSISTANT in MD

Provider Addresses for GABRIELLE NELSON (PA-C)

  • 2401 W BELVEDERE AVE

    BALTIMORE, MD 212155216

    Phone:

    Mailing address matches the actual address.

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: 2025-10-16

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
I20251016004339IPhysician AssistantMDTBD

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 21215)

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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: 4082928098View full group profile
NameSpecialtyState
Physician AssistantMD
N E U R O S U R G E R YMD
Nurse PractitionerNC
Physician AssistantMD
Physician AssistantMD
Physician AssistantMD
Physician AssistantMD
Physician AssistantMD
Physician AssistantMD
Nurse PractitionerMD

Reviews

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Frequently asked questions

How is GABRIELLE NELSON (PA-C) identified in CMS data?
CMS-hosted NPPES data lists GABRIELLE NELSON (PA-C) with NPI 1184500464.
Does the file indicate GABRIELLE NELSON (PA-C) is practicing under active NPI?
Directory data currently reports GABRIELLE NELSON (PA-C) as active.
What is GABRIELLE NELSON (PA-C)'s specialty?
The listing groups GABRIELLE NELSON (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect GABRIELLE NELSON (PA-C) on a map?
Expect Baltimore, Maryland as a primary anchor for GABRIELLE NELSON (PA-C) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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