KIETHLYN GABAT CRNP
NPI 1124785019
Nurse Practitioner - Family in Rising Sun, MD
About Kiethlyn Gabat Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIETHLYN GABAT CRNP (NPI 1124785019) is an individual family provider in Rising Sun, Maryland, licensed in Maryland (R202095) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rising Sun.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kiethlyn Gabat Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kiethlyn Gabat reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
North East, MD 21901
- Reassigned Medicare billing, Maryland and District of Columbia enrollments
- Also billed through NPI 1093130924 (District of Columbia)
- 74 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21911 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
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 Kiethlyn Gabat's NPI number?
The NPI number for Kiethlyn Gabat is 1124785019. It was assigned to this individual provider in the NPPES registry on November 26, 2021.
Where is Kiethlyn Gabat located?
Kiethlyn Gabat practices at 111 Ryan Dr, Rising Sun, MD 21911. The listed phone number is (410) 642-9172.
What is Kiethlyn Gabat's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kiethlyn Gabat enrolled in Medicare?
Yes. Kiethlyn Gabat is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kiethlyn Gabat's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kiethlyn Gabat reassigns Medicare benefits to Mnr Industries, LLC (North East, MD). 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 Kiethlyn Gabat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kiethlyn Gabat was last updated on November 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kiethlyn Gabat, CRNP · NPI 1124785019
Family physician in Rising Sun, Maryland. Individual provider, active in the CMS NPPES registry since November 26, 2021.
## Identity
- **NPI:** 1124785019 (Entity type: Individual)
- **Enumerated:** November 26, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R202095 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 RYAN DR, Rising Sun, MD 21911-1841
- **Phone:** (410) 642-9172
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mnr Industries, LLC (NPI 1215443320, North East, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 26, 2021
- **Other identifiers:** Medicaid G-130-469-095-025 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1124785019) · Data from the CMS NPPES public registry.