Active NPI
Patricia D Gibbons, ANP
- Nurse Practitioner
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- LB0000174
- Practice address
- 501 West 14TH Street
Wilmington, DE 19801-1013 - Phone
- (302) 733-5625
- Fax
- (302) 478-7002
- NPI assigned
- Jul 14, 2006
- 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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | LB0000174 | DE | |
| Nurse Practitioner | 363L00000X | LB0000174 | DE | Primary |
Addresses
Primary practice location
501 West 14TH Street
Wilmington, DE 19801-1013
Mailing address
200 Hygeia Drive
Suite 2300
Newark, DE 19713-2049
Other names 1
- Patricia D Hall
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- 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, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5311 Limestone Rd
Suite 100
Wilmington, DE 19808-1257
Phone (302) 234-2200
774 Christiana Rd
Suite 111
Newark, DE 19713-4248
Phone (302) 478-7001
774 Christiana Rd
Suite 202
Newark, DE 19713-4221
Phone (302) 478-7001
Hospital & facility affiliations
- Christiana Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LB0000174 | DE | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interventional Spine Pain Consultants, PA | Current | Accepting new patients | |
| Anesthesia Group Practice, Inc | Past | Accepting new patients |
Locations
774 Christiana Rd
Ste 111
Newark, DE 19713
Phone (302) 478-7001
3411 Silverside Rd
Ste 103
Wilmington, DE 19810
Phone (302) 479-8464
Interoperability endpoints
- interventionalspinepainconsultantspa.patriciagibbons@146264.advancedmd-direct.com
Organizations & group practices 2
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.
-
- Pain Medicine Physician
- Newark, DE
- NPI 1699700195
-
- Anesthesiology Physician
- Montgomery, OH
- NPI 1417951948
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447632000000",
"number": "1265458285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HYGEIA DRIVE",
"address_2": "SUITE 2300",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 WEST 14TH STREET",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198011013",
"telephone_number": "302-733-5625",
"fax_number": "302-478-7002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBONS",
"first_name": "PATRICIA",
"middle_name": "D",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2015-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "DE",
"license": "LB0000174",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DE",
"license": "LB0000174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "HALL",
"middle_name": "D",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.