Individual provider Active NPI

Joseph Daniel Gibbs, NP

  • Nurse Practitioner
  • Avon, IN
National Provider Identifier
1407347750
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71009841A Issued in IN
Practice address
8244 E US Highway 36 Ste 1100
Avon, IN 46123-9627
Phone
(317) 272-7500
Fax
(317) 272-7515
NPI assigned
May 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 130422 MT
Nurse Practitioner 363L00000X 71009841A IN Primary

Addresses

Primary practice location

8244 E US Highway 36 Ste 1100
Avon, IN 46123-9627

Mailing address

PO Box 434
Ennis, MT 59729-0434
Phone (317) 432-2458

Other practice location 1

305 N Main St
Ennis, MT 59729-8001
Phone (406) 682-4223

Other practice location 2

5511 E 82nd St Ste J
Indianapolis, IN 46250-4515
Phone (317) 284-6847

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgibbs314054@direct-PRD.stelizabeth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

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
130422MTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Current Accepting new patients
Riverview Hospital CurrentSince Oct 1, 2022 Accepting new patients
Riverview Hospital Nurse Practitioner CurrentSince Oct 1, 2022 Accepting new patients
Cep America LLC Nurse Practitioner CurrentSince Feb 6, 2023 Accepting new patients
Cep America LLC CurrentSince Feb 6, 2023 Accepting new patients
Hendricks County Hospital Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

14585 Hazel Dell Pkwy
Rm Urgent
Carmel, IN 46033
Phone (317) 214-5030

9690 E 116th St
Fishers, IN 46037
Phone (317) 214-5750

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

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

412 N Monroe St
Williamsport, IN 47993
Phone (765) 762-2496

Interoperability endpoints

  • Direct secure messaging: jgibbs314054@direct-prd.stelizabeth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1407347750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 434",
            "city": "ENNIS",
            "state": "MT",
            "postal_code": "597290434",
            "telephone_number": "317-432-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8244 E US HIGHWAY 36 STE 1100",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461239627",
            "telephone_number": "317-272-7500",
            "fax_number": "317-272-7515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 N Main St",
            "address_purpose": "LOCATION",
            "city": "Ennis",
            "state": "MT",
            "postal_code": "597298001",
            "country_code": "US",
            "telephone_number": "406-682-4223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5511 E 82nd St Ste J",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462504515",
            "country_code": "US",
            "telephone_number": "317-284-6847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "JOSEPH",
        "middle_name": "DANIEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-22",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "130422",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71009841A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgibbs314054@direct-PRD.stelizabeth.com",
            "affiliation": "N",
            "address_1": "8244 E US Highway 36 Ste 1100",
            "city": "Avon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461239627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.