Active NPI
Anna Marie Gibson, CFNP
- Family Nurse Practitioner
- Proctorville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 54213
- Practice address
- 7718 County Road 107
Proctorville, OH 45669-7928 - Phone
- (740) 886-1150
- Fax
- (740) 886-1177
- NPI assigned
- Jun 9, 2006
- Last updated
- Feb 1, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 54213 | WV | Primary |
Addresses
Primary practice location
7718 County Road 107
Proctorville, OH 45669-7928
Mailing address
7718 County Road 107
Proctorville, OH 45669-7928
Phone (740) 886-1150
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2561286 | Medicaid | OH | |
| P00174864 | Other | WV | RAILROAD MEDICARE |
| 7102183000 | Medicaid | WV |
Other names 1
- Anna Marie Perry
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | anna.gibson@marshall.cernerdirect.com |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7718 County Rd
Suite 107
Proctorville, OH 45669-7928
Phone (704) 886-1150
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians & Surgeons, Inc. | Current | Accepting new patients | |
| University Physicians & Surgeons, Inc | Family | Current | Accepting new patients |
| St. Mary's Himg, LLC | Past | Accepting new patients | |
| Bradley J Richardson MD Ed D Inc | Past | Accepting new patients |
Locations
7718 County Road 107
Proctorville, OH 45669
Phone (704) 886-1150
1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381
Interoperability endpoints
- anna.gibson@marshall.cernerdirect.com
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.
-
- Internal Medicine Physician
- Huntington, WV
- NPI 1730183286
Family, OH
-
- Health & Wellness Coach
- Louisa, KY
- NPI 1073256665
-
- Internal Medicine Physician
- Huntington, WV
- NPI 1619914702
-
- Internal Medicine Physician
- Huntington, WV
- NPI 1184233454
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Mary's Home Health Service
- Home Health Agency
- Proctorville, OH
- NPI 1013109560
-
dba Cabell Huntington Hospital
- General Acute Care Hospital
- Huntington, WV
- NPI 1073518007
-
- General Acute Care Hospital
- Huntington, WV
- NPI 1164492195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1194766295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7718 COUNTY ROAD 107",
"city": "PROCTORVILLE",
"state": "OH",
"postal_code": "456697928",
"telephone_number": "740-886-1150",
"fax_number": "740-886-1177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7718 COUNTY ROAD 107",
"city": "PROCTORVILLE",
"state": "OH",
"postal_code": "456697928",
"telephone_number": "740-886-1150",
"fax_number": "740-886-1177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "ANNA",
"middle_name": "MARIE",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "54213",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2561286",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00174864",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7102183000",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "anna.gibson@marshall.cernerdirect.com",
"affiliation": "N",
"address_1": "7718 County Road 107",
"city": "Proctorville",
"state": "OH",
"country_code": "US",
"postal_code": "456697928",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ANNA",
"last_name": "PERRY",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Proctorville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.