NPIMap

Individual provider Active NPI

Alexandra Kelly Gabriel, ARNP

  • Family Nurse Practitioner
  • Palm Coast, FL
National Provider Identifier
1184050767
Registry record updated Aug 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9427929 Issued in FL
Practice address
120 Cypress Edge Drive
#102
Palm Coast, FL 32164-2509
Phone
(386) 586-4280
Fax
(386) 586-4286
NPI assigned
Sep 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60405652 WA
Family Nurse Practitioner 363LF0000X ARNP9427929 FL Primary

Addresses

Primary practice location

120 Cypress Edge Drive
#102
Palm Coast, FL 32164-2509

Mailing address

222 Willow Oak Way
Palm Coast, FL 32137-2509
Phone (386) 586-4280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160823002225 FL Practitioner - Nurse Practitioner 3577790864 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians

Practice addresses (Care Compare)

120 Cypress Edge Dr
Suite 202
Palm Coast, FL 32164-8454
Phone (386) 586-4280

661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Primary Care Network Inc Family CurrentSince Aug 1, 2023 Accepting new patients
Hma/Solantic Joint Venture, LLC CurrentSince Sep 6, 2016 Accepting new patients
Solantic/South Florida, LLC CurrentSince Sep 6, 2016 Accepting new patients
Solantic of Jacksonville, LLC CurrentSince Sep 6, 2016 Accepting new patients
Shands/Solantic Joint Venture, LLC CurrentSince Sep 6, 2016 Accepting new patients

Locations

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

1205 N University Dr
Coral Springs, FL 33071
Phone (954) 780-8134

720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

120 Cypress Edge Dr
Ste 210
Palm Coast, FL 32164
Phone (386) 445-4750

120 Cypress Edge Dr
Ste 102
Palm Coast, FL 32164
Phone (386) 586-4280

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

2095 US Highway 1 S
Saint Augustine, FL 32086
Phone (904) 429-0001

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

463941 State Road 200
Yulee, FL 32097
Phone (904) 572-1959

Interoperability endpoints

  • Direct secure messaging: agabriel71507@adventhealth.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470441600000",
    "number": "1184050767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 WILLOW OAK WAY",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321372509",
            "telephone_number": "386-586-4280",
            "fax_number": "386-586-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CYPRESS EDGE DRIVE",
            "address_2": "#102",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642509",
            "telephone_number": "386-586-4280",
            "fax_number": "386-586-4286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "ALEXANDRA",
        "middle_name": "KELLY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2016-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60405652",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9427929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.