Active NPI
Mercedes Jacqueline Gibbons, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11001149
- Practice address
- 321 W Oak St
Kissimmee, FL 34741-4421 - Phone
- (407) 647-1781
- NPI assigned
- Sep 9, 2013
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11001149 | FL | Primary |
Addresses
Primary practice location
321 W Oak St
Kissimmee, FL 34741-4421
Mailing address
321 W Oak St
Kissimmee, FL 34741-4421
Phone (833) 769-3524
Other practice location 1
3080 Park Pond Way
Kissimmee, FL 34741-7662
Phone (689) 305-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
321 W Oak St
Lifestance Health
Kissimmee, FL 34741-4421
Phone (407) 537-9452
3891 Bowfin TRL
Kissimmee, FL 34746-1957
Phone (305) 902-6347
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11001149 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brave Health Inc. | Current | Accepting new patients | |
| Personal Recovery Network LLC | Current | Accepting new patients |
Locations
321 W Oak St
Kissimmee, FL 34741
Phone (321) 594-5801
260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450
250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685
Interoperability endpoints
- mercedes.gibbons.1@23300.direct.athenahealth.com
- fbh.mercedesgibbons@141363.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.
-
- Community/Behavioral Health Agency
- Miami, FL
- NPI 1821588674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766102400000",
"number": "1366877441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 W OAK ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414421",
"telephone_number": "833-769-3524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 W OAK ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414421",
"telephone_number": "407-647-1781"
}
],
"practiceLocations": [
{
"address_1": "3080 Park Pond Way",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347417662",
"country_code": "US",
"telephone_number": "689-305-2225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIBBONS",
"first_name": "MERCEDES",
"middle_name": "JACQUELINE",
"name_prefix": "Mrs.",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-09",
"last_updated": "2025-12-19",
"certification_date": "2025-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11001149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.