Individual provider Active NPI

Gabrielle Bender, PA-C

  • Physician Assistant
  • Medina, OH
National Provider Identifier
1952068512
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.008051RX Issued in OH
Practice address
5783 Wooster Pike
Medina, OH 44256-8816
Phone
(330) 725-0569
NPI assigned
Nov 18, 2021
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.008051RX OH Primary

Addresses

Primary practice location

5783 Wooster Pike
Medina, OH 44256-8816

Mailing address

5783 Wooster Pike
Medina, OH 44256-8816
Phone (330) 725-0569

Other names 1

  • Gabrielle Harding Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230427000941 OH Practitioner - Physician Assistant 2668840828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HMT Dermatology Associates Inc.Group PAC ID 6709787989, 17 clinicians

Practice addresses (Care Compare)

300 Weatherstone Dr
Suite 106
Wadsworth, OH 44281-7833
Phone (330) 725-0569

5779 Wooster Pike
Medina, OH 44256-8816
Phone (330) 725-0569

5783 Wooster Pike
Medina, OH 44256-8816
Phone (330) 725-0569

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.008051RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Health Center Inc PastSince Aug 27, 2023 Accepting new patients

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1952068512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5783 WOOSTER PIKE",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568816",
            "telephone_number": "330-725-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5783 WOOSTER PIKE",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568816",
            "telephone_number": "330-725-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "GABRIELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.008051RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIELLE",
            "last_name": "HARDING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.