Jennifer Maureen Gibson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP13208 Issued in OH

Practice address

1408 Campbell Dr Ste 200
Ironton, OH 45638-2301

Phone

(740) 534-9202

Fax

(740) 532-4777

NPI assigned

Nov 4, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ironton and Lawrence County Area Community Action OrganizationGroup PAC ID 8820902497, shared by 8 NPIs, 17 clinicians

Premier Therapy and Health Centers IncGroup PAC ID 7416859574, shared by 6 NPIs, 263 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009
• St Marys Medical Center Hospital, Huntington, WV, CCN 510007
• Cabell Huntington Hospital, Inc Hospital, Huntington, WV, CCN 510055

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.

• Ironton & Lawrence County Area Community Action Organization

  • Federally Qualified Health Center (FQHC)
  • Ironton, OH
  • NPI 1093022287
  Medicare reassignment NPD
• Ironton & Lawrence County Area Community Action Organization

  • Federally Qualified Health Center (FQHC)
  • Chesapeake, OH
  • NPI 1215014113
  Medicare reassignment NPD
• Ironton & Lawrence County Area Community Action Organization

  • Federally Qualified Health Center (FQHC)
  • Kitts Hill, OH
  • NPI 1770839276
  Medicare reassignment NPD
• Ironton & Lawrence County Area Community Action Organization

  • Federally Qualified Health Center (FQHC)
  • Proctorville, OH
  • NPI 1912254574
  Medicare reassignment NPD
• Ironton & Lawrence County Area Community Action Organization

  • Primary Care Clinic/Center
  • Ironton, OH
  • NPI 1063729259
  NPD
• Ironton & Lawrence County Area Community Action Organization

  • Primary Care Clinic/Center
  • Ironton, OH
  • NPI 1306461694
  NPD
• Ironton & Lawrence County Area Community Action Organization

  • Federally Qualified Health Center (FQHC)
  • Coal Grove, OH
  • NPI 1851461644
  NPD

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

• Ashland Hospital Corporation

  • General Acute Care Hospital
  • Ashland, KY
  • NPI 1851346720
  Care Compare affiliation
• Cabell Huntington Hospital Inc

  • General Acute Care Hospital
  • Huntington, WV
  • NPI 1073518007
  Care Compare affiliation
• St. Mary'S Medical Center Inc

  • General Acute Care Hospital
  • Huntington, WV
  • NPI 1164492195
  Care Compare affiliation

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1194002162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N 5TH ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381578",
            "telephone_number": "740-532-4858",
            "fax_number": "740-532-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 CAMPBELL DR STE 200",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382301",
            "telephone_number": "740-534-9202",
            "fax_number": "740-532-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JENNIFER",
        "middle_name": "MAUREEN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-04",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "68316",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP13208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810021896",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0057626",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100184340",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genesis Respiratory Services Inc
• Joshua L George, CDCA
• Zackery J Gibbs
• Anthony Gibson
• Devin Gibson, CDCA
• Sydney Gilbert
• Bethany Giles, LPN
• Rebecca Gilliam
• Jessica Gilliland, SW-T
• Tawnie Kayleen Gillingham, CDCA

• Family Nurse Practitioner in Ironton, OH
• Providers in Ironton, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.

Verify at the official NPI Registry.