Individual provider Active NPI

Daniel Mack Gabrielson, DO

  • Obstetrics & Gynecology Physician
  • Clarion, IA
National Provider Identifier
1639119217
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
3611 Issued in IA
Practice address
1316 S Main St
Clarion, IA 50525-2019
Phone
(515) 532-3406
NPI assigned
Jun 8, 2006
Last updated
Apr 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 3611 IA Primary

Addresses

Primary practice location

1316 S Main St
Clarion, IA 50525-2019

Mailing address

1316 S Main St. PO Box 186
Clarion, IA 50525

Other identifiers 11

IdentifierTypeStateIssuer
0600460MedicaidIA
29352OtherIABCBS ER
66046OtherIABCBS SNF
0283465MedicaidIA
0655001MedicaidIA
0424507MedicaidIA
0293522MedicaidIA
33444OtherIAFPC BCBS NRH
36174OtherIABCBS DME
60046OtherIABCBS REG
0635011MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050502001300 IA Practitioner - Obstetrics/Gynecology 6204875909 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Specialty Hospital- ClarionGroup PAC ID 3375451347, 94 clinicians

Practice addresses (Care Compare)

1316 S Main St
Clarion, IA 50525-2019
Phone (515) 532-2811

1900 Superior St
Webster City, IA 50595-3146
Phone (515) 297-9260

1924 Superior St
Webster City, IA 50595-3146
Phone (515) 832-3332

401 S 17TH St
Gabrielson Clinic for Women
Clear Lake, IA 50428-2304
Phone (641) 357-1800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Specialty Hospital- Clarion CurrentSince Feb 15, 2006 Accepting new patients
Iowa Specialty Hospital- Clarion Current Accepting new patients
Belmond Community Hospital CurrentSince Apr 1, 2013 Accepting new patients
Iowa Specialty Hospital- Clarion Past Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Iowa Specialty Hospital- Clarion Past Accepting new patients
Iowa Specialty Hospital- Clarion Past Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223

1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811

215 13th Ave SW
Clarion, IA 50525
Phone (515) 532-2836

401 S 17th St
Clear Lake, IA 50428
Phone (515) 832-1200

Organizations & group practices 9

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1639119217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 S MAIN ST. PO BOX 186",
            "city": "CLARION",
            "state": "IA",
            "postal_code": "50525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 S MAIN ST",
            "city": "CLARION",
            "state": "IA",
            "postal_code": "505252019",
            "telephone_number": "515-532-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIELSON",
        "first_name": "DANIEL",
        "middle_name": "MACK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "3611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0600460",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ER",
            "identifier": "29352",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SNF",
            "identifier": "66046",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0283465",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0655001",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0424507",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0293522",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FPC BCBS NRH",
            "identifier": "33444",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DME",
            "identifier": "36174",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS REG",
            "identifier": "60046",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0635011",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarion, IA

Sources for this page

Verify at the official NPI Registry.