Individual provider Active NPI

Jaclyn Grace Gelabert, PA

  • Physician Assistant
  • El Paso, TX
National Provider Identifier
1457960122
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2600 N Oregon St
El Paso, TX 79902-3170
Phone
(915) 317-1660
NPI assigned
Jul 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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 Primary

Addresses

Primary practice location

2600 N Oregon St
El Paso, TX 79902-3170

Mailing address

125 W Hague Rd Ste 180
El Paso, TX 79902-5811
Phone (915) 317-1660

Other practice location 1

2270 Joe Battle Blvd Ste P
El Paso, TX 79938-2610
Phone (915) 317-1660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210721001395 TX Practitioner - Physician Assistant 9830592310 Reassigns benefits to 4 organizations
I20250221001893 NM Practitioner - Physician Assistant 9830592310 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehab Consultants PLLC CurrentSince Feb 13, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 28, 2025 Accepting new patients
Signify Health, LLC Physician Assistant CurrentSince Dec 8, 2025 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

2905 Missouri Ave
Las Cruces, NM 88011
Phone (575) 522-0404

1005 Lujan Hill Rd
Las Cruces, NM 88007
Phone (575) 523-4573

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

940 York Dr
Desoto, TX 75115
Phone (972) 331-4554

1475 Raynolds St
El Paso, TX 79903
Phone (915) 565-4677

2450 E 5th St
Tyler, TX 75701
Phone (903) 592-6745

Interoperability endpoints

  • Direct secure messaging: jaclyngelabert@syv.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1457960122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W HAGUE RD STE 180",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025811",
            "telephone_number": "915-317-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N OREGON ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023170",
            "telephone_number": "915-317-1660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2270 Joe Battle Blvd Ste P",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799382610",
            "country_code": "US",
            "telephone_number": "915-317-1660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GELABERT",
        "first_name": "JACLYN",
        "middle_name": "GRACE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.