Gibson Teague Gamel, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

215874 Issued in AK

Practice address

151 Danish Circle
Girdwood, AK 99587-0907

Phone

(907) 540-0443

NPI assigned

Aug 29, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AK, CA2 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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seward Community Health Center IncGroup PAC ID 6800025768, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Seward Hospital Hospital, Seward, AK, CCN 021302

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ggamel2692412@ak.providencedirect.org

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.

• Seward Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Seward, AK
  • NPI 1356772024

  AK

  Medicare reassignment Care Compare group
• Providence Medical Foundation

  • Family Medicine Physician
  • Brea, CA
  • NPI 1871607762

  CA

  Medicare reassignment
• Providence Medical Foundation

  • Obstetrics & Gynecology Physician
  • Napa, CA
  • NPI 1205131950
  NPD
• Providence Medical Foundation

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1639715709
  NPD

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

• City of Seward

  • Critical Access Hospital
  • Seward, AK
  • NPI 1396858155

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1073233235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 1ST AVE",
            "city": "SEWARD",
            "state": "AK",
            "postal_code": "99664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 DANISH CIRCLE",
            "city": "GIRDWOOD",
            "state": "AK",
            "postal_code": "995870907",
            "telephone_number": "907-540-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMEL",
        "first_name": "GIBSON",
        "middle_name": "TEAGUE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-29",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA0008432",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA65486",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "215874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crossings Health, LLC
• Megan Dannenberg, LMT
• Kerry Dorius, ANP
• Shirley Kay Durtschi, PH.D., L.P,C., CDCII
• Beth A Fountain, LMT
• Girdwood Clinic, Inc.
• Girdwood Drug Inc
• Girdwood Fire and Rescue Inc.
• Girdwood Health Clinic, Inc.
• Krista Nicole Gouin, RN

• Physician Assistant in Girdwood, AK
• Providers in Girdwood, AK by specialty
• Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.