Individual provider Active NPI

Kyle Jeffrey Gibson, APRN

  • Family Nurse Practitioner
  • Glasgow, MT
National Provider Identifier
1114803038
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
266859 Issued in MT
Practice address
621 3Rd St S
Glasgow, MT 59230-2651
Phone
(208) 351-9235
NPI assigned
Aug 14, 2025
Last updated
Aug 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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 266859 MT Primary

Addresses

Primary practice location

621 3Rd St S
Glasgow, MT 59230-2651

Mailing address

23 River Dr
Glasgow, MT 59230-8803
Phone (208) 351-9235

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address FMDH@direct-address.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20250916004115 MT Practitioner - Nurse Practitioner 4385148071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phillips County Hospital AssnGroup PAC ID 5092757245, shared by 4 NPIs, 8 clinicians
Frances Mahon Deaconess HospitalGroup PAC ID 3173430949, shared by 5 NPIs, 38 clinicians

Practice addresses (Care Compare)

311 S 8TH Ave E
Malta, MT 59538-8978
Phone (406) 654-1100

621 3Rd St S
Glasgow, MT 59230-2604
Phone (406) 228-3500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
266859MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frances Mahon Deaconess Hospital CurrentSince Aug 14, 2025 Accepting new patients
Frances Mahon Deaconess Hospital CurrentSince Aug 14, 2025 Accepting new patients
Frances Mahon Deaconess Hospital CurrentSince Dec 1, 2025 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

621 3rd St S
Glasgow, MT 59230
Phone (406) 228-3500

Interoperability endpoints

  • Direct secure messaging: fmdh@direct-address.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1114803038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 RIVER DR",
            "city": "GLASGOW",
            "state": "MT",
            "postal_code": "592308803",
            "telephone_number": "208-351-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 3RD ST S",
            "city": "GLASGOW",
            "state": "MT",
            "postal_code": "592302651",
            "telephone_number": "208-351-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "KYLE",
        "middle_name": "JEFFREY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "266859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "FMDH@direct-address.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "621 3rd St S",
            "city": "Glasgow",
            "state": "MT",
            "country_code": "US",
            "postal_code": "592302651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glasgow, MT

Sources for this page

Verify at the official NPI Registry.