Individual provider Active NPI

Lori A Gibson, ARNP

  • Adult Health Nurse Practitioner
  • Noblesville, IN
National Provider Identifier
1235444209
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
71003364A Issued in IN
Practice address
205 Noble Creek Dr
Noblesville, IN 46060-3117
Phone
(317) 773-8483
Fax
(317) 776-0442
NPI assigned
Aug 13, 2010
Last updated
Sep 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 71003364A IN Primary

Addresses

Primary practice location

205 Noble Creek Dr
Noblesville, IN 46060-3117

Mailing address

PO Box 775985
Chicago, IL 60677-5985
Phone (317) 770-6900

Other identifiers 1

IdentifierTypeStateIssuer
201019130MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lgibson793047@DirectC.mercy.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20101207001115 IN Practitioner - Nurse Practitioner 3971790684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverview HospitalGroup PAC ID 1153216627, 209 clinicians

Practice addresses (Care Compare)

865 Westfield Rd
Workmed West
Noblesville, IN 46062-8937
Phone (317) 776-3851

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71003364AINMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Hospital CurrentSince Apr 15, 2017 Accepting new patients
Riverview Hospital CurrentSince Dec 5, 2021 Accepting new patients
Riverview Hospital CurrentSince Apr 15, 2017 Accepting new patients
Rehabilitation Hospital of Indiana, Inc. Past Accepting new patients

Locations

205 Noble Creek Dr
Noblesville, IN 46060
Phone (317) 773-8483

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

601 Westfield Rd
#A
Noblesville, IN 46060
Phone (317) 776-1071

865 Westfield Rd
Noblesville, IN 46062
Phone (317) 770-1700

865 Westfield Rd
Ste D
Westfield, IN 46062
Phone (317) 770-8719

Interoperability endpoints

  • Direct secure messaging: lgibson793047@directc.mercy.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 1

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": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1235444209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775985",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775985",
            "telephone_number": "317-770-6900",
            "fax_number": "317-770-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 NOBLE CREEK DR",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460603117",
            "telephone_number": "317-773-8483",
            "fax_number": "317-776-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-13",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71003364A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201019130",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgibson793047@DirectC.mercy.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "205 Noble Creek Dr",
            "city": "Noblesville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460603117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

Verify at the official NPI Registry.