GABRIELLE ELIZA GWALTNEY (AU.D) – Audiologist, NPI 1194611202

GABRIELLE ELIZA GWALTNEY (AU.D) is a healthcare provider. based in Midland, Michigan. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D. They hold a License No. 1601001212 (MI). The NPI Number for GABRIELLE ELIZA GWALTNEY (AU.D) is 1194611202

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
GABRIELLE ELIZA GWALTNEY (AU.D)
NPI
1194611202
Phone
Not provided
Address
615 GEMMA DR
Enumeration Date
16 June 2025
Last Update Date
19 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2025 (1 year ago)
PAC ID
6608372297
Group Practice PAC ID
2466594296
Professional Enrollment ID
I20251002001476
Address ID
MI488208615De12775DRXX301
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

302 QUALIFIED AUDIOLOGIST in MI

Provider Addresses for GABRIELLE ELIZA GWALTNEY (AU.D)

  • 615 GEMMA DR

    MIDLAND, MI 486428116

    Phone:

    Type: Mailing

  • 715 E MAIN ST STE 115

    MIDLAND, MI 486405488

    Phone: (989) 486-1457

    Type: Location

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: 2025-10-02

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
I20251002001476IQualified AudiologistMITBD

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 48642)

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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: 2466594296View full group profile
NameSpecialtyState
Qualified AudiologistMI
Qualified AudiologistMI

Reviews

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Frequently asked questions

How do payers reference GABRIELLE ELIZA GWALTNEY (AU.D)?
For GABRIELLE ELIZA GWALTNEY (AU.D), use NPI 1194611202 as the unique 10-digit identifier.
Active or inactive — what applies to GABRIELLE ELIZA GWALTNEY (AU.D)?
You should see GABRIELLE ELIZA GWALTNEY (AU.D) as active in CMS-hosted NPPES data.
What area of care is associated with GABRIELLE ELIZA GWALTNEY (AU.D)?
GABRIELLE ELIZA GWALTNEY (AU.D)'s record emphasizes Audiologist. Clinical services aligned with this taxonomy classification.
What locale is associated with GABRIELLE ELIZA GWALTNEY (AU.D)?
Directory geography for GABRIELLE ELIZA GWALTNEY (AU.D) centers on Midland, Michigan.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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