Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

GABRIELLE LYNN DECAESTECKER PA
NPI 1114807112
Physician Assistant - Medical in Lebanon, OH

Active since September 03, 2025PECOS Enrolled
1425 COLUMBUS AVE, LEBANON, OH 45036(513) 282-3010 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2026, Sep 3, 2025 (2 updates tracked since 2025).

About Gabrielle Lynn Decaestecker Pa NPPES

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

GABRIELLE LYNN DECAESTECKER PA (NPI 1114807112) is an individual medical provider in Lebanon, Ohio, licensed in Ohio (50.009699RX) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1114807112
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameGABRIELLE LYNN DECAESTECKERCredential: PA
Location Address1425 COLUMBUS AVELebanon, OH 45036-8258
Mailing Address1425 Columbus AveLebanon, OH 45036-8258 · (513) 282-3010
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 3, 2025
Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
NPI 1114807112 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 OH · 50.009699RX
Also ListedPhysician AssistantTaxonomy 363A00000X · License 50.009699RX (OH)
1425 COLUMBUS AVE, Lebanon, OH 45036

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Gabrielle Lynn Decaestecker Pa 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 ID2668969676
PECOS Enrollment IDI20251014002125
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 16

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

Nurse Practitioner (Family)
1425 COLUMBUS AVE
LEBANON, OH 45036
Pharmacy (Community/Retail Pharmacy)
1425 COLUMBUS AVE
LEBANON, OH 45036
Nurse Practitioner (Family)
1425 COLUMBUS AVE
LEBANON, OH 45036
Pharmacist
1425 COLUMBUS AVE
LEBANON, OH 45036
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1425 COLUMBUS AVE
LEBANON, OH 45036
Nurse Practitioner (Family)
1425 COLUMBUS AVE
LEBANON, OH 45036
Pharmacist
1425 COLUMBUS AVE
LEBANON, OH 45036
Pharmacist
1425 COLUMBUS AVE
LEBANON, OH 45036

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 Decaestecker's NPI number?

The NPI number for Gabrielle Decaestecker is 1114807112. It was assigned to this individual provider in the NPPES registry on September 3, 2025.

Where is Gabrielle Decaestecker located?

Gabrielle Decaestecker practices at 1425 Columbus Ave, Lebanon, OH 45036. The listed phone number is (513) 282-3010.

What is Gabrielle Decaestecker's specialty?

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

Is Gabrielle Decaestecker enrolled in Medicare?

Yes. Gabrielle Decaestecker 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.

Is Gabrielle Decaestecker affiliated with any hospitals?

According to CMS data, Gabrielle Decaestecker is affiliated with Kettering Health Main Campus, Kettering Health Miamisburg and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Gabrielle Decaestecker was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.