Individual provider Active NPI

Brittany Allyson Rider-Gibson, PA-C

  • Physician Assistant
  • Plumsteadville, PA
National Provider Identifier
1104363357
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA058840 Issued in PA
Practice address
5612 Easton Rd
Plumsteadville, PA 18949-0866
Phone
(215) 766-8844
NPI assigned
Jan 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA058840 PA Primary
Physician Assistant 363A00000X OA004053 PA

Addresses

Primary practice location

5612 Easton Rd
Plumsteadville, PA 18949-0866

Mailing address

5612 Easton Rd
Plumsteadville, PA 18949-0866
Phone (215) 766-8844

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170403000722 PA Practitioner - Physician Assistant 7214210434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Plumsteadville Family PracticeGroup PAC ID 9335138155, 10 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

5612 Easton Rd
Box 866
Plumsteadville, PA 18949-0866
Phone (215) 766-8844

PO Box
Suite 866
Plumsteadville, PA 18949

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
OA004053PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ocular Telehealth PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brittany.ridergibson@dhcp.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1104363357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5612 EASTON RD",
            "city": "PLUMSTEADVILLE",
            "state": "PA",
            "postal_code": "189490866",
            "telephone_number": "215-766-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5612 EASTON RD",
            "city": "PLUMSTEADVILLE",
            "state": "PA",
            "postal_code": "189490866",
            "telephone_number": "215-766-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDER-GIBSON",
        "first_name": "BRITTANY",
        "middle_name": "ALLYSON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA058840",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA004053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plumsteadville, PA

Sources for this page

Verify at the official NPI Registry.