Active NPI
Gabrielle Yvonne Boulet
- Physician Assistant
- Evansville, IN
National Provider Identifier
1417891433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 515 Walnut St
Evansville, IN 47708-1621 - Phone
- (812) 488-2300
- NPI assigned
- Apr 18, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | IN |
Addresses
Primary practice location
515 Walnut St
Evansville, IN 47708-1621
Mailing address
515 Walnut St
Evansville, IN 47708-1621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781395200000",
"number": "1417891433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 WALNUT ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477081621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 WALNUT ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477081621",
"telephone_number": "812-488-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOULET",
"first_name": "GABRIELLE",
"middle_name": "YVONNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-18",
"last_updated": "2026-06-14",
"certification_date": "2026-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.