GABRIELLE SHERIDAN MOCK (MD) – Internal Medicine Physician, NPI 1093244543

GABRIELLE SHERIDAN MOCK (MD) is a healthcare provider. based in Providence, Rhode Island. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. LP03974 (RI). The NPI Number for GABRIELLE SHERIDAN MOCK (MD) is 1093244543

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
GABRIELLE SHERIDAN MOCK (MD)
NPI
1093244543
Phone
Not provided
Address
50 4TH ST # 2
Enumeration Date
8 June 2017
Last Update Date
25 June 2020

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4014443985
Graduation Year
2017 (9 years ago)
PAC ID
1759650153
Group Practice PAC ID
0446159776
Professional Enrollment ID
I20200813002077
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:9State licenses:2Digital endpointsOther names

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Provider Addresses for GABRIELLE SHERIDAN MOCK (MD)

  • 2, 4th Street, Blackstone, Providence, Providence County, Rhode Island, 02906, United States

    PROVIDENCE, RI 029062832

    Phone:

    Type: Mailing

  • Rhode Island Hospital, 593, Eddy Street, Downtown, Providence, Providence County, Rhode Island, 02903, United States

    PROVIDENCE, RI 029034923

    Phone: (401) 444-4741

    Fax: (401) 444-4445

    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: 2020-08-13

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
I20200813002077IInternal MedicineRITBD

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 02906)

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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: 0446159776View full group profile
NameSpecialtyState
E N D O C R I N O L O G YRI
Geriatric MedicineRI
N E P H R O L O G YRI
Internal MedicineRI
-RI
-RI
Infectious DiseaseRI
Infectious DiseaseRI
Internal MedicineRI
Pulmonary DiseaseRI

Reviews

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Frequently asked questions

What identifier follows GABRIELLE SHERIDAN MOCK (MD) across health systems?
The NPI 1093244543 uniquely identifies GABRIELLE SHERIDAN MOCK (MD) in U.S. healthcare data.
Does the public listing show GABRIELLE SHERIDAN MOCK (MD) as active?
GABRIELLE SHERIDAN MOCK (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits GABRIELLE SHERIDAN MOCK (MD)?
NPPES ties GABRIELLE SHERIDAN MOCK (MD) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is GABRIELLE SHERIDAN MOCK (MD) tied to Providence, Rhode Island?
If you are local to Providence, Rhode Island, GABRIELLE SHERIDAN MOCK (MD) may be relevant to your search.
Who maintains GABRIELLE SHERIDAN MOCK (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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