Active NPI
Soleil Mathieu Gibbs
- Certified Registered Nurse Anesthetist
- Augusta, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RNA213058
- Practice address
- 35 Medical Center Pkwy
Augusta, ME 04330-8160 - Phone
- (207) 622-1959
- Fax
- (207) 430-4007
- NPI assigned
- May 31, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | RN57915 | ME | |
| Certified Registered Nurse Anesthetist | 367500000X | RNA213058 | ME | Primary |
Addresses
Primary practice location
35 Medical Center Pkwy
Augusta, ME 04330-8160
Mailing address
35 Medical Center Pkwy
Augusta, ME 04330-8160
Phone (207) 622-1959
Other practice location 1
716 Stevens Ave
Portland, ME 04103
Phone (207) 221-4516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of New England, College of Osteo Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Main St
Lewiston, ME 04240-7027
Phone (207) 795-0111
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.44 of 100
- Quality
- 95
- Improvement activities
- 40
- Cost
- 80.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN57915 | ME | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rumford Hospital | Current | Accepting new patients | |
| Bridgton Hospital | Current | Accepting new patients | |
| Bridgton Hospital | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Kennebec Anesthesia Associates, P.a. | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Rumford Hospital | Current | Accepting new patients |
Locations
35 Medical Center Pkwy
#201
Augusta, ME 04330
Phone (207) 622-1959
35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639
35 Medical Center Pkwy
Ste 201
Augusta, ME 04330
Phone (207) 620-1136
10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581
149 North St
Waterville, ME 04901
Phone (207) 622-1959
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
- Critical Access Hospital
- Bridgton, ME
- NPI 1154370153
-
- Anesthesiology Physician
- Augusta, ME
- NPI 1992789184
-
- Critical Access Hospital
- Rumford, ME
- NPI 1205991122
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1447226584
-
dba Bridgton Hospital Swing Bed
- Medicare Defined Swing Bed Hospital Unit
- Bridgton, ME
- NPI 1477691467
-
dba CMMC Specialty Pharmacy
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
-
dba Rumford Hospital Swingbed
- Medicare Defined Swing Bed Hospital Unit
- Rumford, ME
- NPI 1982742482
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632096000000",
"number": "1184282477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 MEDICAL CENTER PKWY",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043308160",
"telephone_number": "207-622-1959",
"fax_number": "207-430-4007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 MEDICAL CENTER PKWY",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043308160",
"telephone_number": "207-622-1959",
"fax_number": "207-430-4007"
}
],
"practiceLocations": [
{
"address_1": "716 Stevens Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "04103",
"country_code": "US",
"telephone_number": "207-221-4516",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIBBS",
"first_name": "SOLEIL",
"middle_name": "MATHIEU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-31",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "ME",
"license": "RN57915",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ME",
"license": "RNA213058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.