GABRIELLE ELYSE KULL
NPI 1710534193
Counselor - Professional in Johnstown, PA

Active since August 21, 2019PECOS EnrolledAccepts Medicare Assignment
1415 EISENHOWER BLVD, JOHNSTOWN, PA 15904(814) 408-0014 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 17, 2024, Aug 21, 2019 (2 updates tracked since 2019).

About Gabrielle Elyse Kull NPPES

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

GABRIELLE ELYSE KULL (NPI 1710534193) is an individual professional provider in Johnstown, Pennsylvania, licensed in Pennsylvania (PC014255) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Johnstown, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1710534193
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameGABRIELLE ELYSE KULL
Location Address1415 EISENHOWER BLVDJohnstown, PA 15904-3217
Mailing Address1415 Eisenhower BlvdJohnstown, PA 15904-3217 · (814) 408-0014
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 21, 2019
Last NPPES UpdateDecember 17, 20242 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
✔ NPI 1710534193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC014255
Also ListedCounselorTaxonomy 101Y00000X
1415 EISENHOWER BLVD, Johnstown, PA 15904

Secondary Practice Location 1

Location 1638 Ferndale AveJohnstown, PA 15905-3946 · Phone (814) 288-4961 · Fax (814) 288-3904

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 Elyse Kull 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 ID1850744087
PECOS Enrollment IDI20240417001874
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 Reassignments

3

Medicare enrollment records show Gabrielle Kull reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
307 VINE ST
Johnstown, PA 15901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 5 clinicians in this Medicare group
Family Medicine
2101 JACKSON ST STE 109
Anderson, IN 46016
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 29 clinicians in this Medicare group
Psychiatry
1301 RIVERPLACE BLVD STE 800
Jacksonville, FL 32207
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 96 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner (Family)
1415 EISENHOWER BLVD
JOHNSTOWN, PA 15904
Nurse Practitioner (Primary Care)
1415 EISENHOWER BLVD
JOHNSTOWN, PA 15904
Clinic/Center (Mental Health (Including Community Mental Health Center))
1415 EISENHOWER BLVD
JOHNSTOWN, PA 15904
Clinic/Center (Dental)
1415 EISENHOWER BLVD
JOHNSTOWN, PA 15904
Nurse Practitioner (Psychiatric/Mental Health)
1415 EISENHOWER BLVD
JOHNSTOWN, PA 15904
Nurse Practitioner (Family)
1415 EISENHOWER BLVD
JOHNSTOWN, PA 15904
Nurse Practitioner (Psychiatric/Mental Health)
1415 EISENHOWER BLVD
JOHNSTOWN, PA 15904
Dentist (General Practice)
1415 EISENHOWER BLVD
JOHNSTOWN, PA 15904

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 Kull's NPI number?

The NPI number for Gabrielle Kull is 1710534193. It was assigned to this individual provider in the NPPES registry on August 21, 2019.

Where is Gabrielle Kull located?

Gabrielle Kull practices at 1415 Eisenhower Blvd, Johnstown, PA 15904. The listed phone number is (814) 408-0014.

What is Gabrielle Kull's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Gabrielle Kull enrolled in Medicare?

Yes. Gabrielle Kull 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 organizations bill Medicare for Gabrielle Kull's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gabrielle Kull reassigns Medicare benefits to 3 organizations: Victim Services Inc. (Johnstown, PA), Lifeline Medical Center (Anderson, IN) and Mccd Fl Psychiatry Services PA (Jacksonville, FL). Each 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 Kull's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gabrielle Kull was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.