GABRIELLE ABERNATHY
NPI 1104556182
Physician Assistant - Medical in Pocatello, ID
About Gabrielle Abernathy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GABRIELLE ABERNATHY (NPI 1104556182) is an individual medical provider in Pocatello, Idaho, licensed in Idaho (PA-2619) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gabrielle Abernathy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Gabrielle Abernathy's NPI number?
The NPI number for Gabrielle Abernathy is 1104556182. It was assigned to this individual provider in the NPPES registry on June 13, 2022.
Where is Gabrielle Abernathy located?
Gabrielle Abernathy practices at 500 S 11th Ave Ste 100, Pocatello, ID 83201. The listed phone number is (208) 232-6214.
What is Gabrielle Abernathy's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Gabrielle Abernathy enrolled in Medicare?
Yes. Gabrielle Abernathy is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Gabrielle Abernathy was last updated on October 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Gabrielle Abernathy · NPI 1104556182
Medical physician in Pocatello, Idaho. Individual provider, active in the CMS NPPES registry since June 13, 2022.
## Identity
- **NPI:** 1104556182 (Entity type: Individual)
- **Enumerated:** June 13, 2022
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA-2619 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 500 S 11TH AVE STE 100, Pocatello, ID 83201-4877
- **Phone:** (208) 232-6214
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104556182) · Data from the CMS NPPES public registry.