Active NPI
Joseph Daniel Gibbs, NP
- Nurse Practitioner
- Avon, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71009841A
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130422 | MT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Current | Accepting new patients | |
| Riverview Hospital | Current | Accepting new patients | |
| Riverview Hospital | Nurse Practitioner | Current | Accepting new patients |
| Cep America LLC | Nurse Practitioner | Current | Accepting new patients |
| Cep America LLC | Current | 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
- 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.
-
- Emergency Medicine Physician
- Terre Haute, IN
- NPI 1285103671
-
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1831164995
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Family Medicine Physician
- Plainfield, IN
- NPI 1104927557
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.