Individual provider Active NPI

Gabriela Anna Leon, ARNP-FNP-BC

  • Family Nurse Practitioner
  • Coquille, OR
National Provider Identifier
1568918563
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201702233NP-PP Issued in OR
Practice address
790 E 5TH St
Coquille, OR 97423-1755
Phone
(541) 396-3111
Fax
(541) 396-5891
NPI assigned
Aug 30, 2016
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9287947 FL
Family Nurse Practitioner 363LF0000X 201702233NP-PP OR Primary

Addresses

Primary practice location

790 E 5TH St
Coquille, OR 97423-1755

Mailing address

6386 Westchester Club Dr N
Boynton Beach, FL 33437-6337
Phone (954) 401-3216

Other names 1

  • Ms. Gabriela Anna Lombardi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, FL2 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
I20170426001012 OR Practitioner - Nurse Practitioner 9638456882 Reassigns benefits to 3 organizations
I20230308000885 FL Practitioner - Nurse Practitioner 9638456882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Florida International Univ, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coquille Valley HealthGroup PAC ID 2567902182, 20 clinicians

Practice addresses (Care Compare)

2699 N 17TH St
Coos Bay, OR 97420-2134
Phone (541) 266-3600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9287947FLMDFamily Nurse Practitioner
201702233NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coquille Valley Hospital District CurrentSince Dec 1, 2024 Accepting new patients
Coquille Valley Health CurrentSince Dec 6, 2024 Accepting new patients
North Bend Medical Center Inc CurrentSince May 29, 2017 Accepting new patients
Coquille Valley Hospital District CurrentSince Dec 1, 2024 Accepting new patients
My Bodyworx Chiropractic LLC CurrentSince Nov 29, 2022 Accepting new patients
Coquille Valley Health CurrentSince Dec 6, 2024 Accepting new patients
Coquille Valley Health Past Accepting new patients
Coquille Valley Health PastSince Dec 6, 2024 Accepting new patients
My Bodyworx Chiropractic PastSince Nov 10, 2024 Accepting new patients

Locations

301 W Atlantic Ave
Ste R6
Delray Beach, FL 33444
Phone (561) 926-9494

1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151

2699 N 17th St
Coos Bay, OR 97420
Phone (541) 266-3600

790 E 5th St
Coquille, OR 97423
Phone (541) 396-3101

790 E 5th St
Ste A
Coquille, OR 97423
Phone (541) 396-3111

940 E 5th St
Coquille, OR 97423
Phone (541) 396-3101

324 4th St
Myrtle Point, OR 97458
Phone (541) 572-2111

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c5c3b5c-6128-40bc-b71b-102ccb82d7e7/

Organizations & group practices 10

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 3

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": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1568918563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6386 WESTCHESTER CLUB DR N",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376337",
            "telephone_number": "954-401-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 E 5TH ST",
            "city": "COQUILLE",
            "state": "OR",
            "postal_code": "974231755",
            "telephone_number": "541-396-3111",
            "fax_number": "541-396-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "GABRIELA",
        "middle_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "ARNP-FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9287947",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201702233NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIELA",
            "last_name": "LOMBARDI",
            "middle_name": "ANNA",
            "prefix": "MS.",
            "credential": "ARNP-FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coquille, OR

Sources for this page

Verify at the official NPI Registry.