Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GABRIELLE JEAN KOSOBUCKI
NPI 1700645900
Student in an Organized Health Care Education/Training Program in Wilmington, NC

Q: What is Gabrielle Kosobucki's NPI number?

The NPI number for Gabrielle Kosobucki is 1700645900. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Q: What is Gabrielle Kosobucki's specialty?

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

Active since March 18, 2024PECOS Enrolled

1725 NEW HANOVER MEDICAL PARK DR, WILMINGTON, NC 28403(910) 662-9300(910) 662-9301 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Gabrielle Jean Kosobucki NPPES

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

GABRIELLE JEAN KOSOBUCKI (NPI 1700645900) is an individual student in an organized health care education/training program in Wilmington, North Carolina, licensed in North Carolina (RTL26-0759) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Wilmington.

NPPES Registry Identity

NPI1700645900

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameGABRIELLE JEAN KOSOBUCKI

Location Address1725 NEW HANOVER MEDICAL PARK DRWilmington, NC 28403-5345

Mailing AddressPo Box 936857Atlanta, GA 31193-6857

Phone(910) 662-9300

Fax(910) 662-9301

Sole ProprietorNo

Enumeration DateMarch 18, 2024

Last NPPES UpdateJuly 9, 2026

NPPES CertifiedJuly 9, 2026

✔ NPI 1700645900 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

License✔ Licensed in NC · RTL26-0759

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.

1725 NEW HANOVER MEDICAL PARK DR, Wilmington, NC 28403

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Secondary Practice Location 1

Location 12131 S 17th StWilmington, NC 28401-7407 · Phone (212) 241-6500

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 Jean Kosobucki 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.

MRS. NICOLE LAUREN TERRELL PA-C

Physician Assistant