Individual provider Active NPI

Gabrielle M Gorzelnik, PA-C

  • Physician Assistant
  • Sarasota, FL
National Provider Identifier
1316951734
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00142100 Issued in NJ
Practice address
5911 N Honore Ave
Ste 210
Sarasota, FL 34243-2606
Phone
(941) 308-7546
Fax
(941) 308-7550
NPI assigned
Jul 28, 2006
Last updated
Jan 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00142100 NJ Primary
Physician Assistant 363A00000X PA 9108515 FL

Addresses

Primary practice location

5911 N Honore Ave
Ste 210
Sarasota, FL 34243-2606

Mailing address

105 N Main St
Cape May Court House, NJ 08210-2119
Phone (941) 308-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20060127000668 NJ Practitioner - Physician Assistant 9133133275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Paolini, DO, PCGroup PAC ID 9133187768, 5 clinicians

Practice addresses (Care Compare)

105 N Main St
Cape May Court House, NJ 08210-2119
Phone 6094658788110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.05 of 100Reported as group
Promoting interoperability
93
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 9108515FLMDPhysician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1316951734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N MAIN ST",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102119",
            "telephone_number": "941-308-7546",
            "fax_number": "941-308-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 N HONORE AVE",
            "address_2": "STE 210",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432606",
            "telephone_number": "941-308-7546",
            "fax_number": "941-308-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORZELNIK",
        "first_name": "GABRIELLE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00142100",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9108515",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.