Active NPI
Elizabeth A. Gabel, NP-C
- Family Nurse Practitioner
- Fremont, OH
National Provider Identifier
1013179639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F0608058
- Practice address
- 1479 N River Rd
Fremont, OH 43420-9760 - Phone
- (419) 355-9440
- Fax
- (419) 355-9443
- NPI assigned
- Jun 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F0608058 | OH | Primary |
Addresses
Primary practice location
1479 N River Rd
Fremont, OH 43420-9760
Mailing address
PO Box 378
Sandusky, OH 44871-0378
Phone (419) 609-1112
Other practice location 1
2575 Hayes Ave
Suite 3
Fremont, OH 43420-5201
Phone (419) 332-7371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2872913 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0608058 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Ohio Medical Specialists, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiology Clinic/Center
- Sheffield Village, OH
- NPI 1508811332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1013179639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 378",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448710378",
"telephone_number": "419-609-1112",
"fax_number": "419-609-1123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1479 N RIVER RD",
"city": "FREMONT",
"state": "OH",
"postal_code": "434209760",
"telephone_number": "419-355-9440",
"fax_number": "419-355-9443"
}
],
"practiceLocations": [
{
"address_1": "2575 Hayes Ave",
"address_2": "SUITE 3",
"address_purpose": "LOCATION",
"city": "Fremont",
"state": "OH",
"postal_code": "434205201",
"country_code": "US",
"telephone_number": "419-332-7371",
"fax_number": "419-332-7989",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GABEL",
"first_name": "ELIZABETH",
"middle_name": "A.",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "F0608058",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2872913",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.