GABRIELLE JERISE EZELL MD, MS
NPI 1396549556
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Gabrielle Ezell's NPI number?

The NPI number for Gabrielle Ezell is 1396549556. It was assigned to this individual provider in the NPPES registry on April 4, 2025.

Q: What is Gabrielle Ezell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Gabrielle Ezell was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since April 04, 2025PECOS Enrolled

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Gabrielle Jerise Ezell Md, Ms NPPES

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

GABRIELLE JERISE EZELL MD, MS (NPI 1396549556) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396549556

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameGABRIELLE JERISE EZELLCredential: MD, MS

Location Address2799 W GRAND BLVDDetroit, MI 48202-2689

Mailing Address2799 W Grand BlvdDetroit, MI 48202-2608

Phone(313) 916-2600

Sole ProprietorNo

Enumeration DateApril 4, 2025

NPPES CertifiedApril 4, 2025

✔ NPI 1396549556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2799 W GRAND BLVD, Detroit, MI 48202

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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 Jerise Ezell Md, Ms 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.

Other Providers at the Same Location NPPES 20

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

HENRY FORD HOSPITAL

General Acute Care Hospital