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JAMES J. GILBERT
NPI 1083053789
Counselor - Mental Health in Fort Pierce, FL

Active since June 17, 2013PECOS EnrolledAccepts Medicare Assignment
4500 W MIDWAY RD, FORT PIERCE, FL 34981(772) 468-5600 Get Directions Write a Review

NPPES record last updated: January 24, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About James J. Gilbert NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES J. GILBERT (NPI 1083053789) is an individual mental health provider in Fort Pierce, Florida and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1083053789
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJAMES J. GILBERT
Location Address4500 W MIDWAY RDFort Pierce, FL 34981-4823
Mailing Address4500 W Midway RdFort Pierce, FL 34981-4823 · (772) 468-5600
Phone(772) 468-5600
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJune 17, 2013
Last NPPES UpdateJanuary 24, 2019
✔ NPI 1083053789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4500 W MIDWAY RD, Fort Pierce, FL 34981
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James J. Gilbert is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618319989
PECOS Enrollment IDI20240531002831
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show James Gilbert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New Horizons Of The Treasure Coast Inc
0.1 mi
Community/Behavioral Health
4500 W. MIDWAY ROAD
Ft. Pierce, FL 34981
  • Reassigned Medicare billing, Florida enrollment
  • 41 clinicians in this Medicare group
NPI 1154439958 (772) 468-5600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRADY SAMS
Case Manager/Care Coordinator
4500 W MIDWAY RD
FORT PIERCE, FL 34981
St. Lucie County (772) 468-5600
DEBORAH JOHNSON
Case Manager/Care Coordinator
4500 W MIDWAY RD
FORT PIERCE, FL 34981
St. Lucie County (772) 468-5600
SONIA REID
Registered Nurse
4500 W MIDWAY RD
FORT PIERCE, FL 34981
St. Lucie County (772) 468-5600
LAKESHA KIDD
Case Manager/Care Coordinator
4500 W MIDWAY RD
FORT PIERCE, FL 34981
St. Lucie County (772) 468-5600
MRS. KENIDD M FEVRY RN
Registered Nurse
4500 W MIDWAY RD
FORT PIERCE, FL 34981
St. Lucie County (772) 672-8681
MRS. ALANE B LUKE RN
Registered Nurse (Psychiatric/Mental Health)
4500 W MIDWAY RD
FORT PIERCE, FL 34981
St. Lucie County (772) 467-3097
MRS. RITA JEAN DOSS-JONES BS
Case Manager/Care Coordinator
4500 W MIDWAY RD
FORT PIERCE, FL 34981
St. Lucie County (772) 468-5600
MRS. SERENA RAQUEL ISHAM RN
Registered Nurse
4500 W MIDWAY RD
FORT PIERCE, FL 34981
St. Lucie County (772) 672-8481

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Gilbert's NPI number?

The NPI number for James Gilbert is 1083053789. It was assigned to this individual provider in the NPPES registry on June 17, 2013.

Where is James Gilbert located?

James Gilbert practices at 4500 W Midway Rd, Fort Pierce, FL 34981. The listed phone number is (772) 468-5600.

What is James Gilbert's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is James Gilbert enrolled in Medicare?

Yes. James Gilbert is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for James Gilbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Gilbert reassigns Medicare benefits to New Horizons Of The Treasure Coast Inc (Ft. Pierce, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Gilbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Gilbert accept?

Health plans from Ambetter Health, Ambetter of Alabama and Oscar Health Maintenance Organization of Florida list James Gilbert as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Gilbert was last updated on January 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.