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GABRIELLE MIRE BLACK PA
NPI 1881560829
Physician Assistant in Maurice, LA

Active since October 16, 2025PECOS EnrolledAccepts Medicare Assignment
4402 U S HIGHWAY 167, MAURICE, LA 70555(337) 516-3110 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gabrielle Mire Black Pa NPPES

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

GABRIELLE MIRE BLACK PA (NPI 1881560829) is an individual physician assistant in Maurice, Louisiana, licensed in Louisiana (348969) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, is affiliated with Ochsner Lafayette General Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1881560829
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGABRIELLE MIRE BLACKCredential: PA
Location Address4402 U S HIGHWAY 167Maurice, LA 70555-3708
Mailing Address3420 Kirk RdMaurice, LA 70555-3417
Phone(337) 516-3110
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 16, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1881560829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in LA · 348969
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.
4402 U S HIGHWAY 167, Maurice, LA 70555
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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 Mire Black Pa 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 ID2163909821
PECOS Enrollment IDI20260123001487
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.

Ochsner Lafayette General Medical Center

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190002
Location1214 Coolidge AvenueLafayette, LA 70503 · Lafayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70555 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

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 Black's NPI number?

The NPI number for Gabrielle Black is 1881560829. It was assigned to this individual provider in the NPPES registry on October 16, 2025.

Where is Gabrielle Black located?

Gabrielle Black practices at 4402 U S Highway 167, Maurice, LA 70555. The listed phone number is (337) 516-3110.

What is Gabrielle Black's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gabrielle Black enrolled in Medicare?

Yes. Gabrielle Black 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 Black affiliated with any hospitals?

According to CMS data, Gabrielle Black is affiliated with Ochsner Lafayette General Medical Center.

When was this NPI record last updated?

The NPPES record for Gabrielle Black was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.