NPIMap

Individual provider Active NPI

Gabrielle L Anderson, DO

  • Family Medicine Physician
  • Casselberry, FL
National Provider Identifier
1841828498
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS20291 Issued in FL
Practice address
985 State Road 436
Casselberry, FL 32707-5664
Phone
(407) 831-5252
Fax
(407) 831-3765
NPI assigned
Mar 30, 2020
Last updated
Aug 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS20291 FL Primary

Addresses

Primary practice location

985 State Road 436
Casselberry, FL 32707-5664

Mailing address

985 State Road 436
Casselberry, FL 32707-5664
Phone (407) 831-5252

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230815003028 FL Practitioner - Family Practice 6002278579 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Liberty Univ College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kible Health PAGroup PAC ID 0941722474, 21 clinicians
CFP Care Team LLCGroup PAC ID 3577751742, 22 clinicians

Practice addresses (Care Compare)

450 Rockefeller Dr
New Smyrna Beach, FL 32168-8937
Phone (646) 396-0527

985 State Rd
Suite 436
Casselberry, FL 32707-5664
Phone (407) 831-5252

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Florida - Jacksonville II LLC CurrentSince Mar 11, 2024 Accepting new patients
CFP Care Team LLC Family Medicine CurrentSince Aug 7, 2023 Accepting new patients

Locations

985 State Road 436
Casselberry, FL 32707
Phone (407) 831-5252

785 S 2nd St
Defuniak Springs, FL 32435
Phone (850) 892-2176

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

215 Annie St
Orlando, FL 32806
Phone (407) 841-4371

5201 Curry Ford Rd
Orlando, FL 32812
Phone (407) 384-8838

2250 Indian Creek Blvd W
Vero Beach, FL 32966
Phone (772) 562-7400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1841828498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 STATE ROAD 436",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075664",
            "telephone_number": "407-831-5252",
            "fax_number": "407-831-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 STATE ROAD 436",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075664",
            "telephone_number": "407-831-5252",
            "fax_number": "407-831-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "GABRIELLE",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS20291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

Verify at the official NPI Registry.