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KIETHLYN GABAT CRNP
NPI 1124785019
Nurse Practitioner - Family in Rising Sun, MD

Active since November 26, 2021PECOS Enrolled
111 RYAN DR, RISING SUN, MD 21911(410) 642-9172 Get Directions Write a Review

NPPES record last updated: November 26, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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

NPI1124785019
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIETHLYN GABATCredential: CRNP
Location Address111 RYAN DRRising Sun, MD 21911-1841
Mailing Address111 Ryan DrRising Sun, MD 21911-1841
Phone(410) 642-9172
Sole ProprietorNo
Enumeration DateNovember 26, 2021
NPPES CertifiedNovember 26, 2021
✔ NPI 1124785019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R202095
111 RYAN DR, Rising Sun, MD 21911
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Secondary Practice Location 1

Location 1111 Ryan DrRising Sun, MD 21911-1841 · Phone (410) 642-9172

Other Identifiers 1

MedicaidG-130-469-095-025MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kiethlyn Gabat Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

New Patient
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

CORAZON-PANES SANCHEZ,LLC
Pediatrics
111 RYAN DR
RISING SUN, MD 21911
Cecil County (410) 642-9172
KRISTEN BERKOWICH LGSW
Social Worker
111 RYAN DR
RISING SUN, MD 21911
Cecil County (410) 642-9172
LINDSAY ADAMS PA-C
Physician Assistant
111 RYAN DR
RISING SUN, MD 21911
Cecil County (410) 658-1300

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.

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.