GABRIELLA ELIZABETH CONVERSE PA
NPI 1104633627
Physician Assistant - Medical in White House, TN

Active since December 17, 2024PECOS Enrolled
128 RAYMOND HIRSCH PKWY, WHITE HOUSE, TN 37188(615) 672-3027 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2025, Dec 17, 2024 (2 updates tracked since 2024).

About Gabriella Elizabeth Converse Pa NPPES

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

GABRIELLA ELIZABETH CONVERSE PA (NPI 1104633627) is an individual medical provider in White House, Tennessee, licensed in Tennessee (6411) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104633627
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameGABRIELLA ELIZABETH CONVERSECredential: PA
Location Address128 RAYMOND HIRSCH PKWYWhite House, TN 37188-8193
Mailing Address107 Judith CtGoodlettsville, TN 37072-1337 · (315) 391-7550
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 17, 2024
Last NPPES UpdateMay 15, 20252 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
NPI 1104633627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TN · 6411
Also ListedPhysician AssistantTaxonomy 363A00000X
128 RAYMOND HIRSCH PKWY, White House, TN 37188

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Gabriella Elizabeth Converse Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830613835
PECOS Enrollment IDI20250723004472
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.

Other Providers at the Same Location NPPES 5

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

Family Medicine
128 RAYMOND HIRSCH PKWY, SUITE 3
WHITE HOUSE, TN 37188
Family Medicine
128 RAYMOND HIRSCH PKWY
WHITE HOUSE, TN 37188
Family Medicine
128 RAYMOND HIRSCH PKWY, BOX 568
WHITE HOUSE, TN 37188
Nurse Practitioner (Family)
128 RAYMOND HIRSCH PKWY, AXIS MEDICAL
WHITE HOUSE, TN 37188
Physician Assistant
128 RAYMOND HIRSCH PKWY, ST 1
WHITE HOUSE, TN 37188

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 Gabriella Converse's NPI number?

The NPI number for Gabriella Converse is 1104633627. It was assigned to this individual provider in the NPPES registry on December 17, 2024.

Where is Gabriella Converse located?

Gabriella Converse practices at 128 Raymond Hirsch Pkwy, White House, TN 37188. The listed phone number is (615) 672-3027.

What is Gabriella Converse's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Gabriella Converse enrolled in Medicare?

Yes. Gabriella Converse is registered in the Medicare PECOS enrollment system.

What insurance does Gabriella Converse accept?

Health plans from BlueCross BlueShield of Tennessee list Gabriella Converse 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 Gabriella Converse was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.