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GABRIELLE ALYSON KOBACKER FNP-C
NPI 1619538782
Family Medicine - Addiction Medicine in Portland, ME

Active since June 27, 2019PECOS EnrolledAccepts Medicare Assignment
17 BISHOP ST, PORTLAND, ME 04103(207) 618-9611 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gabrielle Alyson Kobacker Fnp-c NPPES

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

GABRIELLE ALYSON KOBACKER FNP-C (NPI 1619538782) is an individual addiction medicine provider in Portland, Maine, licensed in Maine (CNP191153) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1619538782
Entity TypeIndividualFemale
Primary Taxonomy207QA0401X
Provider Legal NameGABRIELLE ALYSON KOBACKERCredential: FNP-C
Location Address17 BISHOP STPortland, ME 04103-2659
Mailing Address5 Elijah James Dr Unit 101Saco, ME 04072-1685 · (207) 907-9197
Phone(207) 618-9611
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 27, 2019
Last NPPES UpdateFebruary 16, 2023
NPPES CertifiedFebruary 16, 2023
✔ NPI 1619538782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in ME · CNP191153
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
17 BISHOP ST, Portland, ME 04103
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gabrielle Alyson Kobacker Fnp-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 ID9638571342
PECOS Enrollment IDI20210716000931
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.

Medicare Billing Reassignment

Medicare enrollment records show Gabrielle Kobacker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bishop Medical Group LLC
0.1 mi
Addiction Medicine
1250 FOREST AVE STE 201
Portland, ME 04103
  • Reassigned Medicare billing, Maine enrollment
  • 8 clinicians in this Medicare group
NPI 1487256186 (207) 671-3047

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 04103 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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 20

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

MRS. REBECCA L DROUIN LCSW
Social Worker (Clinical)
17 BISHOP ST
PORTLAND, ME 04103
Cumberland County (207) 871-1235
ALICIA M WILLIS CAC
Social Worker (Clinical)
17 BISHOP ST
PORTLAND, ME 04103
Cumberland County (207) 871-1235
JOSEPH DIFONZO CADC
Counselor (Addiction (Substance Use Disorder))
17 BISHOP ST
PORTLAND, ME 04103
Cumberland County (207) 208-9787
MS. REBECCA W SPITKO LS11320
Case Manager/Care Coordinator
17 BISHOP ST
PORTLAND, ME 04103
Cumberland County (207) 871-1235
KERRY DRACH PHD
Psychologist (Clinical)
17 BISHOP ST
PORTLAND, ME 04103
Cumberland County (207) 871-1235
ANTHONY W BEATTIE LMHC, LCC
Counselor (Mental Health)
17 BISHOP ST
PORTLAND, ME 04103
Cumberland County (207) 871-1235
JESSICA OESTERHELDER M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
17 BISHOP ST
PORTLAND, ME 04103
Cumberland County (207) 871-1235
KASSADI MCPHERSON
Counselor (Addiction (Substance Use Disorder))
17 BISHOP ST
PORTLAND, ME 04103
Cumberland County (207) 203-7933

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 Kobacker's NPI number?

The NPI number for Gabrielle Kobacker is 1619538782. It was assigned to this individual provider in the NPPES registry on June 27, 2019.

Where is Gabrielle Kobacker located?

Gabrielle Kobacker practices at 17 Bishop St, Portland, ME 04103. The listed phone number is (207) 618-9611.

What is Gabrielle Kobacker's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Gabrielle Kobacker enrolled in Medicare?

Yes. Gabrielle Kobacker 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.

Which organization bills Medicare for Gabrielle Kobacker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gabrielle Kobacker reassigns Medicare benefits to Bishop Medical Group LLC (Portland, ME). 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 Gabrielle Kobacker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gabrielle Kobacker accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Gabrielle Kobacker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gabrielle Kobacker was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.