DEMITRI NICHELLE GOCKEL PA-C
NPI 1497395719
Physician Assistant in Maplewood, MN

Active since January 14, 2020PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
1575 BEAM AVE, MAPLEWOOD, MN 55109(651) 232-7000 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 6, 2021, Jan 14, 2020 (2 updates tracked since 2020).

About Demitri Nichelle Gockel Pa-c NPPES

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

DEMITRI NICHELLE GOCKEL PA-C (NPI 1497395719) is an individual physician assistant in Maplewood, Minnesota and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1497395719
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDEMITRI NICHELLE GOCKELCredential: PA-C
Location Address1575 BEAM AVEMaplewood, MN 55109-1126
Mailing Address1575 Beam AveMaplewood, MN 55109-1169 · (651) 232-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 14, 2020
Last NPPES UpdateJune 16, 20262 updates tracked since enumeration
NPPES CertifiedJune 16, 2026
NPI 1497395719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1575 BEAM AVE, Maplewood, MN 55109

Secondary Practice Location 1

Location 1913 E 26th St Ste 401Minneapolis, MN 55404-4515 · Phone (612) 863-0200

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 and accepts Medicare assignment

Demitri Nichelle Gockel Pa-c 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 ID4385036219
PECOS Enrollment IDI20220126001407
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
27 services20 patients

Hospital Affiliations CMS Care Compare

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

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55109 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

Nurse Anesthetist, Certified Registered
1575 BEAM AVE
MAPLEWOOD, MN 55109
Emergency Medicine
1575 BEAM AVE
MAPLEWOOD, MN 55109
Emergency Medicine
1575 BEAM AVE
MAPLEWOOD, MN 55109
Emergency Medicine
1575 BEAM AVE
MAPLEWOOD, MN 55109
Dietitian, Registered
1575 BEAM AVE
MAPLEWOOD, MN 55109
Internal Medicine (Hematology & Oncology)
1575 BEAM AVE
MAPLEWOOD, MN 55109
Emergency Medicine
1575 BEAM AVE
MAPLEWOOD, MN 55109
Physician Assistant
1575 BEAM AVE
MAPLEWOOD, MN 55109

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497395719, enumerated as an "individual" on January 14, 2020.

The provider is located at 1575 BEAM AVE MAPLEWOOD, MN 55109 and the phone number is (651) 232-7000.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: HealthPartners and Medica. Please consult your insurance carrier or call the provider to verify.

Demitri Gockel is affiliated with: ABBOTT NORTHWESTERN HOSPITAL.