JULIE MCELWAIN-GABRIEL O.T.
NPI 1184657223
Occupational Therapist in Fort Wayne, IN
NPI Status: Active since July 09, 2006
Contact Information
11143 PARKVIEW PLAZA DR STE 100
FORT WAYNE, IN
ZIP 46845
Phone: (260) 266-7400
Fax: (260) 266-7439
- Individual
- Female
- Years of Experience 30
- Occupational Therapist
- Accepts Insurance
- Accepts Medicare Approved Payment
About JULIE MCELWAIN-GABRIEL
This page provides the complete NPI Profile along with additional information for Julie Mcelwain-gabriel, a provider established in Fort Wayne, Indiana with a medical specialization in Occupational Therapist and more than 30 years of experience. The healthcare provider is registered in the NPI registry with number 1184657223 assigned on July 2006. The practitioner's primary taxonomy code is 225X00000X with license number 31003535 (IN). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1184657223
- Provider Name
- JULIE MCELWAIN-GABRIEL O.T.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845
- Location Phone
- (260) 266-7400
- Location Fax
- (260) 266-7439
- Mailing Address
- 11109 PARKVIEW PLAZA DR # 117 FORT WAYNE, IN 46845
- Medical School Name
- OTHER
- Graduation Year
- 1996
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-09-2006
- Last Update Date
- 12-28-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Occupational Therapist
- Taxonomy Code
- 225X00000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 31003535
- License State
- IN
- Taxonomy Description
- An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200393260 | MEDICAID (05) | IN |
Medicare Participation & PECOS Enrollment Status
Julie Mcelwain-gabriel is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 3779620653
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20091026000506
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Reviews for JULIE MCELWAIN-GABRIEL O.T.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 8 | 4 | 6 | 5 | 7 | 2 | 2 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 16 | 4 | 12 | 5 | 14 | 2 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 6 + 4 + 1 + 2 + 5 + 1 + 4 + 2 + 4 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1184657223 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1699292722 | CHARISSE L PRALL NP Individual | Nurse Practitioner (Family) | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 484-8830 |
| 1992754931 | LESLIE ANNE EDGAR N.P. Individual | Nurse Practitioner (Family) | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 484-8830 |
| 1619371119 | CRYSTAL BRADFIELD Individual | Nurse Practitioner (Family) | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 484-8830 |
| 1902805351 | JULIE HERMAN P.T. Individual | Physical Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
| 1013907500 | DR. THOMAS M RUEDIGER PT Individual | Physical Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
| 1144288929 | JENNIFER HENSLER P.T. Individual | Physical Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
| 1497856199 | AMY J MUHA PHYSICAL THERAPIST Individual | Physical Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
| 1487728671 | JENNIFER ENNIS P.T. Individual | Physical Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
| 1154481521 | MRS. CYNTHIA RUICH MPT Individual | Physical Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
| 1356532667 | CRYSTAL M BOURCIER DPT Individual | Physical Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
| 1396933842 | MISS ERIKA J VANENGEN PT Individual | Physical Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
| 1760622757 | KATIE J KAISER DPT Individual | Physical Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
| 1841549896 | ASHLEY A WILSON MOTRL Individual | Occupational Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
| 1609373711 | KRISTEN E GARLOCK PT Individual | Physical Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
| 1285176057 | KELLY K MASARIRA PT, DPT Individual | Physical Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
| 1538612825 | CORYNN E MCKIBBEN PT Individual | Physical Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
| 1639623663 | RYAN P NELSON DPT Individual | Physical Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
| 1245570167 | JILL R LINDER O.T. Individual | Occupational Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
| 1275054504 | SEAN P COLLINS Individual | Physical Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
| 1134599228 | BRITTNI ROY DPT Individual | Physical Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184657223, enumerated in the NPI registry as an "individual" on July 09, 2006
The provider is located at 11143 Parkview Plaza Dr Ste 100 Fort Wayne, In 46845 and the phone number is (260) 266-7400
The provider's speciality is Occupational Therapist with taxonomy code 225X00000X
The provider has more than 30 years of experience.
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Meridian, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on July 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.