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GABRIELLE NICOLE WALTERS MS, PA-C
NPI 1619715562
Physician Assistant - Surgical in Patchogue, NY

Active since July 16, 2024PECOS EnrolledAccepts Medicare Assignment
101 HOSPITAL RD, PATCHOGUE, NY 11772(631) 654-7100 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gabrielle Nicole Walters Ms, Pa-c NPPES

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

GABRIELLE NICOLE WALTERS MS, PA-C (NPI 1619715562) is an individual surgical provider in Patchogue, New York and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Long Island Community Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1619715562
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameGABRIELLE NICOLE WALTERSCredential: MS, PA-C
Location Address101 HOSPITAL RDPatchogue, NY 11772-4870
Mailing Address89 Hawthorne RdRocky Point, NY 11778-8720 · (631) 903-4594
Phone(631) 654-7100
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 16, 2024
NPPES CertifiedJuly 16, 2024
✔ NPI 1619715562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
101 HOSPITAL RD, Patchogue, NY 11772
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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 and accepts Medicare assignment

Gabrielle Nicole Walters Ms, 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 ID9436686276
PECOS Enrollment IDI20241218002095
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.

Hospital Affiliations CMS Care Compare

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

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330141
Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County
Emergency services

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.

VAISHALI MEHTA MD
Internal Medicine (Critical Care Medicine)
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7100
COURTNEY BOFINGER PA
Physician Assistant
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7100
TAHA A SIDDIQUI MD
Internal Medicine
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 473-1320
NYU LANGONE HOSPITALS
Clinic/Center (Mental Health (Including Community Mental Health Center))
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7175
ANNETTE POPE-MORRIS PA
Physician Assistant (Medical)
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7100
CARLOS KIM
Student in an Organized Health Care Education/Training Program
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7170
MEAGHAN CHOU PA-C
Physician Assistant
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7100
AUSTIN DANIEL BUDHRAM PA-C
Physician Assistant (Medical)
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7100

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 Walters's NPI number?

The NPI number for Gabrielle Walters is 1619715562. It was assigned to this individual provider in the NPPES registry on July 16, 2024.

Where is Gabrielle Walters located?

Gabrielle Walters practices at 101 Hospital Rd, Patchogue, NY 11772. The listed phone number is (631) 654-7100.

What is Gabrielle Walters's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Gabrielle Walters enrolled in Medicare?

Yes. Gabrielle Walters 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.

Is Gabrielle Walters affiliated with any hospitals?

According to CMS data, Gabrielle Walters is affiliated with Long Island Community Hospital.

When was this NPI record last updated?

The NPPES record for Gabrielle Walters was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.