Gabrielle Rose Gervais-Maynard, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Sioux Falls, SD
NPI 1952105017 · NPPES record last updated Apr 1, 2025
Key facts
- NPI
- 1952105017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1115 E 20TH St
Sioux Falls, SD 57105-1013 - Phone
- (605) 339-1783
- NPI assigned
- Apr 1, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250730000151 | SD | Order and Referring Only - Family Practice |
8729595178 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1115 E 20TH St
Sioux Falls, SD 57105-1013
Mailing address
1115 E 20TH St
Sioux Falls, SD 57105-1013
Phone (605) 339-1783
Other providers in Sioux Falls, SD
- Victoria Rae Gerhart
- Sarah Geritz
- Katey Lynn Gerken
- Brian Todd Gerry
- Lee Thomas Gertsen
- Laura Gerwing
- Bhargavi Ghanta
- Taylor Rose Giacopelli
- Melanie Gibbons
- Abigail Gibbs
All providers in Sioux Falls, SD · Student in an Organized Health Care Education/Training Program in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.