Individual provider Active NPI

Gabrielle Barbara Dickerhoof, NP-C

  • Family Nurse Practitioner
  • Salem, OH
National Provider Identifier
1982118758
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10171410 Issued in OH
Practice address
2020 E State St Ste C
Salem, OH 44460-2479
Phone
(330) 332-7807
Fax
(330) 332-7809
NPI assigned
Nov 30, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F10171410 OH Primary

Addresses

Primary practice location

2020 E State St Ste C
Salem, OH 44460-2479

Mailing address

2525 Southeast Blvd
Salem, OH 44460-3464

Other practice location 1

2400 Wales Ave NW
Massillon, OH 44646-0804
Phone (330) 833-7323

Other names 1

  • Mrs. Gabrielle Barbara Dickerhoof Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Gabrielle.Dickerhoof@salemregional.medicity.net

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
I20180102002654 OH Practitioner - Nurse Practitioner 7810255437 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433

Hospital & facility affiliations

  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Akron General Medical Center Hospital, Akron, OH, CCN 360027
  • Mercy Medical Center Hospital, Canton, OH, CCN 360070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F10171410OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Inc Family Medicine CurrentSince Sep 1, 2018 Accepting new patients
Vpa PC CurrentSince Feb 15, 2023 Accepting new patients
Vpa PC Family Medicine CurrentSince Feb 15, 2023 Accepting new patients
Signify Health, LLC CurrentSince Mar 1, 2022 Accepting new patients
Vpa PC Family Medicine Current Accepting new patients
The Cleveland Clinic Foundation CurrentSince Oct 11, 2023 Accepting new patients
Vpa PC Family Medicine Current Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

6525 Market Ave N
Ste 101
North Canton, OH 44721
Phone (330) 494-9784

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

7206 Market St
Ste A
Youngstown, OH 44512
Phone (330) 726-3379

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: gabrielle.dickerhoof@salemregional.medicity.net

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1982118758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 SOUTHEAST BLVD",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444603464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E STATE ST STE C",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602479",
            "telephone_number": "330-332-7807",
            "fax_number": "330-332-7809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Wales Ave NW",
            "address_purpose": "LOCATION",
            "city": "Massillon",
            "state": "OH",
            "postal_code": "446460804",
            "country_code": "US",
            "telephone_number": "330-833-7323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKERHOOF",
        "first_name": "GABRIELLE",
        "middle_name": "BARBARA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F10171410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Gabrielle.Dickerhoof@salemregional.medicity.net",
            "affiliation": "N",
            "address_1": "2020 E State St Ste C",
            "city": "Salem",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444602479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GABRIELLE",
            "last_name": "DICKERHOOF",
            "middle_name": "BARBARA",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Salem, OH

Sources for this page

Verify at the official NPI Registry.