Carla Gibson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

016250 Issued in MT

Practice address

10795 Oral Zumwalt Way
Missoula, MT 59803-9791

Phone

(406) 543-5444

Fax

(406) 543-5447

NPI assigned

Oct 16, 2006

Last updated

Sep 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2021 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Health Solutions PLLC

  • Family Nurse Practitioner
  • Missoula, MT
  • NPI 1407044845
  Authorized official Same address or phone
• Mountain States Precision Healthcare PLLC

  dba Mountain States Precision Healthcare

  • Primary Care Clinic/Center
  • Missoula, MT
  • NPI 1679164149
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1245310135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 S RESERVE ST # 401",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016451",
            "telephone_number": "406-543-5444",
            "fax_number": "406-543-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10795 ORAL ZUMWALT WAY",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598039791",
            "telephone_number": "406-543-5444",
            "fax_number": "406-543-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "CARLA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-09-27",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "016250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "373780",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4302402",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Erin Giammona, PHARMD
• Kathryn Gianoulias
• Karlyn Gibbs
• Kelli Gibbs
• Jennifer Kathryn Gibson-Snyder, MD
• Elizabeth Anne Gibson, BSN, MS, NNP
• Janelle Gibson, D.P.T
• Katherine Kelly Gifford, CBHPSS
• Penny M Gifford, LCPC
• Jake Giffuni

• Family Nurse Practitioner in Missoula, MT
• Providers in Missoula, MT by specialty
• Family Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.