Individual provider Active NPI

Janet Gibson

  • Family Nurse Practitioner
  • Pleasantville, NJ
National Provider Identifier
1043601156
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00537600 Issued in NJ
Practice address
8025 Black Horse Pike Ste 501
Pleasantville, NJ 08232-2967
Phone
(854) 600-9684
Fax
(609) 415-1875
NPI assigned
Feb 10, 2015
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00537600 NJ Primary
Family Nurse Practitioner 363LF0000X 24726 SC

Addresses

Primary practice location

8025 Black Horse Pike Ste 501
Pleasantville, NJ 08232-2967

Mailing address

PO Box 313
Linwood, NJ 08221-0313
Phone (609) 515-4759

Other names 1

  • Janet Michniewicz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170320000071 NJ Practitioner - Nurse Practitioner 2961787718 Reassigns benefits to 3 organizations
I20210928003689 SC Practitioner - Nurse Practitioner 2961787718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4728 Jenn Dr
Suite 102
Myrtle Beach, SC 29577-5714
Phone (609) 464-1135

8025 Black Horse Pike
Suite 501
Pleasantville, NJ 08232-2967
Phone (609) 464-1135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Angelic Primary Medicine LLC CurrentSince Oct 28, 2019 Accepting new patients
Angelic Health Practice Group CurrentSince May 7, 2024 Accepting new patients
Angelic Health Practice Group CurrentSince May 7, 2024 Accepting new patients
Clarity Primary Medicine of SC, LLC CurrentSince Jul 22, 2021 Accepting new patients
Atlantic Hospice, Inc. Past Accepting new patients
Angelic Health Practice Group Past Accepting new patients
Act on Total Health Medical Group, LLC Past Accepting new patients

Locations

8025 Black Horse Pike
Ste 501
Pleasantville, NJ 08232
Phone (609) 464-1135

4728 Jenn Dr
Ste 102
Myrtle Beach, SC 29577
Phone (609) 464-1135

923 Medical Cir
Ste B
Myrtle Beach, SC 29572
Phone (843) 780-8589

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: janet.gibson.1@11851.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1043601156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 313",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082210313",
            "telephone_number": "609-515-4759",
            "fax_number": "609-415-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 BLACK HORSE PIKE STE 501",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322967",
            "telephone_number": "854-600-9684",
            "fax_number": "609-415-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JANET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-10",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00537600",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24726",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "MICHNIEWICZ",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pleasantville, NJ

Sources for this page

Verify at the official NPI Registry.