Individual provider Active NPI

Gabriel Kwame Mayerson, DNP

  • Acute Care Nurse Practitioner
  • Orange City, FL
National Provider Identifier
1306678255
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11034886 Issued in FL
Practice address
1075 Town Center Dr
Orange City, FL 32763-8360
Phone
(386) 917-0333
Fax
(386) 917-0335
NPI assigned
Aug 19, 2024
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 11034886 FL Primary

Addresses

Primary practice location

1075 Town Center Dr
Orange City, FL 32763-8360

Mailing address

1075 Town Center Dr
Orange City, FL 32763-8360
Phone (386) 917-0333

Other practice location 1

749 Stirling Center Pl
Lake Mary, FL 32746-4856
Phone (407) 321-8230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250529001219 FL Practitioner - Nurse Practitioner 1355860750 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Practice Associates MD PAGroup PAC ID 3779474333, 22 clinicians
Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians

Practice addresses (Care Compare)

1075 Town Ctr Dr
Orange City, FL 32763-8360
Phone (386) 917-0333

325 Cypress Pkwy
Kissimmee, FL 34759-3326
Phone (407) 530-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11034886FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Practice Associates MD PA Critical Care Medicine CurrentSince Mar 8, 2025 Accepting new patients

Locations

749 Stirling Center Pl
Lake Mary, FL 32746
Phone (407) 321-8230

749 Stirling Center Pl
Bldg 8
Lake Mary, FL 32746
Phone (407) 321-8230

1075 Town Center Dr
Orange City, FL 32763
Phone (386) 917-0333

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: gabriel.mayerson.p1@direct.ppafl.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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 2

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": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1306678255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 TOWN CENTER DR",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638360",
            "telephone_number": "386-917-0333",
            "fax_number": "386-917-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 TOWN CENTER DR",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638360",
            "telephone_number": "386-917-0333",
            "fax_number": "386-917-0335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "749 Stirling Center Pl",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327464856",
            "country_code": "US",
            "telephone_number": "407-321-8230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYERSON",
        "first_name": "GABRIEL",
        "middle_name": "KWAME",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-19",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11034886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.