Active NPI
Ashli McKenzie Gibson, CNM, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5019203
- Practice address
- 1721 New Hanover Medical Park Dr
Wilmington, NC 28403-5345 - Phone
- (910) 726-9976
- Fax
- (910) 807-3488
- NPI assigned
- Jun 6, 2017
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5019203 | NC | Primary |
| Advanced Practice Midwife | 367A00000X | 640 | NC |
Addresses
Primary practice location
1721 New Hanover Medical Park Dr
Wilmington, NC 28403-5345
Mailing address
PO Box 936857
Atlanta, GA 31193-6857
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1721 New Hanover Medical Park Dr
Wilmington, NC 28403-5345
Phone (910) 726-9976
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5019203 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
| 640 | NC | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group Coastal Region, LLC | Current | Accepting new patients | |
| NMG Health Services LLC | Current | Accepting new patients | |
| Lotus Center of Health, PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Novant Health New Hanover Regional Medical Center LLC | Current | Accepting new patients | |
| Novant Health New Hanover Regional Medical Center LLC | Current | Accepting new patients | |
| Novant Health New Hanover Regional Medical Center LLC | Current | Accepting new patients | |
| Novant Health Medical Group Coastal Region, LLC | Current | Accepting new patients |
Locations
800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164
2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000
2221 S 17th St
Wilmington, NC 28401
Phone (910) 662-7720
1721 New Hanover Medical Park Dr
Wilmington, NC 28403
Phone (910) 726-9976
1721 Medical Park
#P
Wilmington, NC 28403
Phone (910) 726-9976
Organizations & group practices 7
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.
-
- Gynecology Physician
- Wilmington, NC
- NPI 1487487807
Psychiatric/Mental Health
-
- Cardiovascular Disease Physician
- Wilmington, NC
- NPI 1649865791
-
- Certified Registered Nurse Anesthetist
- Wilmington, NC
- NPI 1750978839
-
- Maternal & Fetal Medicine Physician
- Bolivia, NC
- NPI 1558242495
-
- Internal Medicine Physician
- Wilmington, NC
- NPI 1841877263
-
- Internal Medicine Physician
- Wilmington, NC
- NPI 1396332482
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Wilmington, NC
- NPI 1932958584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747958400000",
"number": "1437688207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936857",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311936857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 NEW HANOVER MEDICAL PARK DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284035345",
"telephone_number": "910-726-9976",
"fax_number": "910-807-3488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "ASHLI",
"middle_name": "MCKENZIE",
"credential": "CNM, PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-06",
"last_updated": "2025-05-23",
"certification_date": "2025-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5019203",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NC",
"license": "640",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.