Active NPI
Gabrielle Du Sablon
- Physician Assistant
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9110721
- Practice address
- 915 W Monroe St Ste 200
Jacksonville, FL 32204-1177 - Phone
- (904) 384-2240
- NPI assigned
- Jul 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9110721 | FL | Primary |
Addresses
Primary practice location
915 W Monroe St Ste 200
Jacksonville, FL 32204-1177
Mailing address
915 W Monroe St Ste 200
Jacksonville, FL 32204-1177
Phone (904) 384-2240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1375 Roberts Dr
Suite 206
Jacksonville Beach, FL 32250-3209
Phone (904) 384-2240
3550 University Blvd S
Suite 301
Jacksonville, FL 32216-4225
Phone (904) 384-2240
Hospital & facility affiliations
- Baptist Medical Center Beaches
- Baptist Health Medical Center - Jacksonville
- Flagler Hospital
- Ed Fraser Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.44 of 100
- Quality
- 84.21
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9110721 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North East Florida Endocrine and Diabetes Assoc PA | Current | Accepting new patients |
Locations
915 W Monroe St
Ste 200
Jacksonville, FL 32204
3550 University Blvd S
Ste 301
Jacksonville, FL 32216
1375 Roberts Dr
Ste 206
Jax Bch, FL 32250
Phone (904) 247-1456
1635 Eagle Harbor Pkwy
Ste 5
Orange Park, FL 32003
300 Saint Elizabeth Way
Ste 160
St Johns, FL 32259
Interoperability endpoints
- gdusablon742633@direct.shands.ufl.edu
- gabrielledusablon@nfed.allscriptsdirect.net
Organizations & group practices 2
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.
-
- General Practice Physician
- Jacksonville, FL
- NPI 1215932520
-
- Customized Equipment (DME)
- Jacksonville, FL
- NPI 1992070585
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Macclenny, FL
- NPI 1104926401
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
- General Acute Care Hospital
- St Augustine, FL
- NPI 1144211020
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1750804662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 W MONROE ST STE 200",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322041177",
"telephone_number": "904-384-2240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 W MONROE ST STE 200",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322041177",
"telephone_number": "904-384-2240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DU SABLON",
"first_name": "GABRIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-23",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9110721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.