Individual provider Active NPI

Gabrielle Benner, CRNP

  • Nurse Practitioner
  • Lewistown, PA
National Provider Identifier
1679027726
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP016490 Issued in PA
Practice address
400 Highland Ave
Lewistown, PA 17044
Phone
(717) 242-8900
NPI assigned
Aug 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP016490 PA
Nurse Practitioner 363L00000X SP016490 PA Primary

Addresses

Primary practice location

400 Highland Ave
Lewistown, PA 17044

Mailing address

110 Electric Ave
Lewistown, PA 17044-1325
Phone (717) 248-5900

Other names 1

  • Gabrielle Gargus Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20161028000119 PA Practitioner - Nurse Practitioner 5597043422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Wound Care Pennsylvania PLLCGroup PAC ID 5294075362, 9 clinicians

Practice addresses (Care Compare)

4400 W Girard Ave
Philadelphia, PA 19104-1002
Phone (201) 870-1194

Merit-based Incentive Payment System (MIPS)

Final score
61.26 of 100Reported as group
Quality
75.9
Promoting interoperability
0
Improvement activities
20
Cost
69.96

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centre Geriatric Care, LLC CurrentSince Oct 31, 2021 Accepting new patients
Juniata Valley Occupational Health PLLC Nurse Practitioner CurrentSince Jun 23, 2025 Accepting new patients
Integrated Wound Care Pennsylvania PLLC CurrentSince May 10, 2022 Accepting new patients

Locations

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

700 Walnut Bottom Rd
Carlisle, PA 17013
Phone (717) 960-7700

110 Electric Ave
Lewistown, PA 17044
Phone (717) 248-5900

4400 W Girard Ave
Philadelphia, PA 19104
Phone (215) 477-1170

2134 Sandy Dr
Ste 16
State College, PA 16803

Interoperability endpoints

  • Direct secure messaging: gfb112pcs@m1526.primeclinicalsystems.direct-ci.com

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": "1470441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1679027726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ELECTRIC AVE",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170441325",
            "telephone_number": "717-248-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HIGHLAND AVE",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "17044",
            "telephone_number": "717-242-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNER",
        "first_name": "GABRIELLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-06",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP016490",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP016490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIELLE",
            "last_name": "GARGUS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lewistown, PA

Sources for this page

Verify at the official NPI Registry.