Active NPI
Anjelica Yvonne Gipson, MD
- Family Medicine Physician
- Philadelphia, PA
National Provider Identifier
1033615927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD474608
- Practice address
- 800 Walnut St
Philadelphia, PA 19107-5176 - Phone
- (215) 829-0101
- NPI assigned
- Apr 1, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD474608 | PA | Primary |
Addresses
Primary practice location
800 Walnut St
Philadelphia, PA 19107-5176
Mailing address
4536 Spruce St, Philadelphia, PA 19139
Ground Floor
Philadelphia, PA 19139
Phone (215) 474-6100
Other practice location 1
4536 Spruce St
Ground Floor
Philadelphia, PA 19139
Phone (215) 474-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4536 Spruce St
Philadelphia, PA 19139-4525
Phone (215) 474-6100
Hospital & facility affiliations
- Penn Medicine Home Health
- Hospital of Univ of Pennsylvania
- Penn Presbyterian Medical Center
- Pennsylvania Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD474608 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Care Associates of the University of Pennsylvania Health Syst | Current | Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health | Family Medicine | Current | Accepting new patients |
| Clinical Care Associates of the University of Pennsylvania Health | Current | Accepting new patients |
Locations
777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Radnor, PA
- NPI 1972682995
Family Medicine
-
- Psychologist
- West Chester, PA
- NPI 1649940107
-
- Hospitalist Physician
- Bala Cynwyd, PA
- NPI 1790737468
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1245207521
-
- Home Health Agency
- Bala Cynwyd, PA
- NPI 1992746366
-
- General Acute Care Hospital
- Phila, PA
- NPI 1063489342
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1033615927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4536 SPRUCE ST, PHILADELPHIA, PA 19139",
"address_2": "GROUND FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19139",
"telephone_number": "215-474-6100",
"fax_number": "215-474-6123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WALNUT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075176",
"telephone_number": "215-829-0101"
}
],
"practiceLocations": [
{
"address_1": "4536 Spruce St",
"address_2": "Ground Floor",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "19139",
"country_code": "US",
"telephone_number": "215-474-6100",
"fax_number": "215-474-6123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIPSON",
"first_name": "ANJELICA",
"middle_name": "YVONNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-01",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD474608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.