Susan G. Gibson, CRNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

SP013902 Issued in PA

Practice address

3928 Washington Rd Ste 220
MC Murray, PA 15317-2594

Phone

(724) 941-8877

Fax

(724) 941-4745

NPI assigned

Jun 20, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Metro Family Practice, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pittsburgh, PA
  • NPI 1740283845
  Medicare reassignment NPD
• Patel Medical Associates LLC

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1053331249
  Medicare reassignment NPD
• Upmc Advanced Practice Providers

  • Nurse Practitioner
  • Pittsburgh, PA
  • NPI 1457769176

  Gerontology

  Medicare reassignment NPD
• Upmc Advanced Practice Providers

  • Clinical Social Worker
  • Pittsburgh, PA
  • NPI 1720608805
  NPD

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1164837811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TECHNOLOGY DR STE 150",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179531",
            "telephone_number": "412-531-2290",
            "fax_number": "412-531-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3928 WASHINGTON RD STE 220",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172594",
            "telephone_number": "724-941-8877",
            "fax_number": "724-941-4745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1039 Brookline Blvd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152262247",
            "country_code": "US",
            "telephone_number": "412-561-3452",
            "fax_number": "412-561-3422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "SUSAN",
        "middle_name": "G.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP013902",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP013902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalton Gaus
• Miriam Gabrielle Geier, MS, NCC, LPC
• James Gemmell, LCSW
• Joseph Gentino, LCSW
• Giant Eagle Inc
• Gobbie Chiropractic Center
• Thomas C Gobbie, DC
• Maya Goldin-Perschbacher, M.D.
• Lynn Golightly, MS
• Gosai Counseling LLC

• Gerontology Nurse Practitioner in MC Murray, PA
• Providers in MC Murray, PA by specialty
• Gerontology Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.