Active NPI
Amanda M Gibson, NP-C
- Family Nurse Practitioner
- Richmond, IN
National Provider Identifier
1093294282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71008184A
- Practice address
- 1050 Reid Pkwy Ste 110
Richmond, IN 47374 - Phone
- (765) 935-8923
- Fax
- (765) 935-8407
- NPI assigned
- Aug 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 Nurse Practitioner | 363LF0000X | 71008184A | IN | Primary |
Addresses
Primary practice location
1050 Reid Pkwy Ste 110
Richmond, IN 47374
Mailing address
1100 Reid Pkwy
Medical Staff Services
Richmond, IN 47374-1157
Phone (765) 935-8923
Other practice location 1
1301 South 8th St.
RMD Patti
Richmond, IN 47374
Phone (765) 939-3947
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | agibson317416@ReidHealth.direct-ci.com | Reid Physician Associates, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1050 Reid Pkwy
Suite 110
Richmond, IN 47374-1156
Phone (765) 935-8923
2125 State St
Suite 2
New Albany, IN 47150-4972
Hospital & facility affiliations
- Reid Health
- Wayne Hospital
- Henry County Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reid Physician Associates, Inc. | Current | Accepting new patients | |
| Reid Physician Associates, Inc | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000
1050 Reid Pkwy
Ste 110
Richmond, IN 47374
Phone (765) 935-8914
Interoperability endpoints
- agibson317416@reidhealth.direct-ci.com
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.
-
- Internal Medicine Physician
- Richmond, IN
- NPI 1265689111
-
- Physical Therapy Clinic/Center
- New Albany, IN
- NPI 1003824772
-
- Radiology Clinic/Center
- Winchester, IN
- NPI 1417653221
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Castle, IN
- NPI 1356428429
-
- General Acute Care Hospital
- Richmond, IN
- NPI 1063457380
-
- Critical Access Hospital
- Greenville, OH
- NPI 1184621161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1093294282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 REID PKWY",
"address_2": "MEDICAL STAFF SERVICES",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473741157",
"telephone_number": "765-935-8923",
"fax_number": "765-935-8407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 REID PKWY STE 110",
"city": "RICHMOND",
"state": "IN",
"postal_code": "47374",
"telephone_number": "765-935-8923",
"fax_number": "765-935-8407"
}
],
"practiceLocations": [
{
"address_1": "1301 South 8th St.",
"address_2": "RMD Patti",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "IN",
"postal_code": "47374",
"country_code": "US",
"telephone_number": "765-939-3947",
"fax_number": "765-939-3950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIBSON",
"first_name": "AMANDA",
"middle_name": "M",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-09",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71008184A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "agibson317416@ReidHealth.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Reid Physician Associates, Inc.",
"address_1": "1050 Reid Pkwy Ste 110",
"city": "Richmond",
"state": "IN",
"country_code": "US",
"postal_code": "47374",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Richmond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.