Individual provider Active NPI

Gabriela Kerwin

  • Physician Assistant
  • Albuquerque, NM
National Provider Identifier
1427680677
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2020-0053 Issued in NM
Practice address
912 1St St NW
Albuquerque, NM 87102-2355
Phone
(505) 224-9777
Fax
(505) 224-9779
NPI assigned
Feb 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2020-0053 NM Primary

Addresses

Primary practice location

912 1St St NW
Albuquerque, NM 87102-2355

Mailing address

912 1St St NW
Albuquerque, NM 87102-2355
Phone (505) 224-9777

Other practice location 1

8308 Constitution Pl NE
Albuquerque, NM 87110-7637
Phone (505) 883-9570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20240508004173 NM Practitioner - Physician Assistant 2860833837 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Duke City Recovery Toolbox LLC CurrentSince Mar 3, 2024 Accepting new patients
Metro Treatment of New Mexico LP PastSince Aug 1, 2020 Accepting new patients
Metro Treatment of New Mexico LP PastSince Aug 1, 2020 Accepting new patients

Locations

912 1st St NW
Albuquerque, NM 87102
Phone (505) 224-9777

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1427680677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 1ST ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022355",
            "telephone_number": "505-224-9777",
            "fax_number": "505-224-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 1ST ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022355",
            "telephone_number": "505-224-9777",
            "fax_number": "505-224-9779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8308 Constitution Pl NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871107637",
            "country_code": "US",
            "telephone_number": "505-883-9570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERWIN",
        "first_name": "GABRIELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2020-0053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.