Individual provider Active NPI

Marin Gibson

  • Family Nurse Practitioner
  • Chico, CA
National Provider Identifier
1043758139
Registry record updated Dec 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95026958 Issued in CA
Practice address
3100 Cohasset Rd
Chico, CA 95973-0962
Phone
(530) 342-8367
NPI assigned
Feb 8, 2017
Reactivated
Sep 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95026958 CA Primary

Addresses

Primary practice location

3100 Cohasset Rd
Chico, CA 95973-0962

Mailing address

PO Box 13247
Sacramento, CA 95813-3247
Phone (510) 672-2083

Other practice location 1

2710 Gateway Oaks Dr
Sacramento, CA 95833-3505
Phone (510) 672-2083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260318003630 CA Practitioner - Nurse Practitioner 1951748094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

1 Quality Dr
Vacaville, CA 95688-9494
Phone (707) 624-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc CurrentSince Feb 23, 2026 Accepting new patients
Permanente Medical Group, Inc CurrentSince Feb 23, 2026 Accepting new patients
Easter Seals Bay Area Behavior Analyst Past Accepting new patients

Locations

1 Quality Dr
Vacaville, CA 95688
Phone (707) 453-5000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702771200000",
    "number": "1043758139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13247",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958133247",
            "telephone_number": "510-672-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 COHASSET RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959730962",
            "telephone_number": "530-342-8367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2710 Gateway Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958333505",
            "country_code": "US",
            "telephone_number": "510-672-2083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "MARIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-08",
        "last_updated": "2023-12-17",
        "certification_date": "2023-12-17",
        "deactivation_date": "2023-08-30",
        "reactivation_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95026958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.