Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gabrielle Lynn Decaestecker, PA

Individual provider Physician Assistant · NPI 1114807112

Gabrielle Lynn Decaestecker, PA is a Physician Assistant in Lebanon, Ohio. Qualified in 2025, 1 year ago. Practices with South Dayton Acute Care Consultants, Inc, a 116-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
1
Licensed in
OH
In the registry since
2025
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1425 Columbus Ave
Lebanon, OH 45036-8258
Phone: (513) 282-3010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 50.009699RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence 50.009699RX (OH)

Record details

NPI number1114807112
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 3, 2025
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice South Dayton Acute Care Consultants, Inc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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