Individual provider Active NPI

Debra Jean Gaves, NP

  • Nurse Practitioner
  • Worcester, MA
National Provider Identifier
1063501765
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN10003464 Issued in MA
Practice address
26 Queen St
Worcester, MA 01610-2478
Phone
(508) 860-7800
Fax
(508) 796-7014
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN10003464 MA Primary
Nurse Practitioner 363L00000X 4704170436 MI

Addresses

Primary practice location

26 Queen St
Worcester, MA 01610-2478

Mailing address

26 Queen St
Worcester, MA 01610-2478
Phone (508) 860-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050614000138 MI Practitioner - Nurse Practitioner 6800830654 Reassigns benefits to 3 organizations
I20240409004279 MA Practitioner - Nurse Practitioner 6800830654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Oakland Univ, William Beaumont School of Medicine, 2001
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

26 Queen St
Worcester, MA 01610-2473
Phone (508) 860-7800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704170436MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Center of Worcester, Inc. CurrentSince Jan 12, 2026 Accepting new patients
Family Health Center of Worcester, Inc. CurrentSince Jan 12, 2026 Accepting new patients
Fadi Salloum MD PC CurrentSince Jul 1, 2020 Accepting new patients
Vpa PC CurrentSince Jan 1, 2023 Accepting new patients
Inpatient Consultants of Michigan PC CurrentSince Sep 17, 2017 Accepting new patients
Vpa PC Current Accepting new patients
Vpa PC CurrentSince Jan 1, 2023 Accepting new patients
Telemed Consultants PLLC Past Accepting new patients

Locations

26 Queen St
Worcester, MA 01610
Phone (508) 860-7700

26 Queen St
Ste 13
Worcester, MA 01610
Phone (508) 860-7700

22600 W Main St
Armada, MI 48005
Phone (734) 508-4569

1014 E Grand River Ave
Brighton, MI 48116
Phone (810) 220-5222

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

4444 W Bristol Rd
Ste 150
Flint, MI 48507
Phone (810) 230-9500

2205 Jolly Rd
Ste B
Okemos, MI 48864
Phone (517) 347-4085

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

625 36th St SW
Wyoming, MI 49509
Phone (517) 481-3715

Interoperability endpoints

  • Direct secure messaging: debra.gaves@direct.signature.masshiway.net

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1063501765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 QUEEN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102478",
            "telephone_number": "508-860-7800",
            "fax_number": "508-661-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 QUEEN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102478",
            "telephone_number": "508-860-7800",
            "fax_number": "508-796-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVES",
        "first_name": "DEBRA",
        "middle_name": "JEAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN10003464",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704170436",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.