Individual provider Active NPI

Emily Gibson, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Martinsburg, WV
National Provider Identifier
1487494175
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
120187 Issued in WV
Practice address
208 S Viking Way
Martinsburg, WV 25401-5338
Phone
(304) 596-5780
Fax
(304) 596-5781
NPI assigned
May 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ACOO7144 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024190704 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 120187 WV Primary

Addresses

Primary practice location

208 S Viking Way
Martinsburg, WV 25401-5338

Mailing address

37 Rosco Drive
Bunker Hill, WV 25413

Other practice location 1

2010 Doctor Oates Dr
Martinsburg, WV 25401-8896
Phone (304) 596-5780

Other practice location 2

4014J Mountville Rd
Jefferson, MD 21755-7713
Phone (240) 986-1001

Other practice location 3

37 Rosco Drive
Bunker Hill, WV 25413
Phone (540) 631-5605

Other practice location 4

198 S Viking Way
Martinsburg, WV 25401-5300
Phone (304) 596-5780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241024001481 WV Practitioner - Nurse Practitioner 4385177740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians

Practice addresses (Care Compare)

415 Wilson St
Martinsburg, WV 25401-3023
Phone (304) 596-2899

Hospital & facility affiliations

  • Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACOO7144MDMDPsychiatric/Mental Health Nurse Practitioner
0024190704VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Sep 25, 2024 Accepting new patients
West Virginia University Medical Corporation CurrentSince Sep 25, 2024 Accepting new patients
West Virginia University Medical Corporation Psychiatric/Mental Health Past Accepting new patients
West Virginia University Medical Corporation Past Accepting new patients

Locations

415 Wilson St
Martinsburg, WV 25401
Phone (304) 579-4455

198 S Viking Way
Martinsburg, WV 25401
Phone (304) 596-2899

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1487494175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 ROSCO DRIVE",
            "city": "BUNKER HILL",
            "state": "WV",
            "postal_code": "25413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 S VIKING WAY",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254015338",
            "telephone_number": "304-596-5780",
            "fax_number": "304-596-5781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 Doctor Oates Dr",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254018896",
            "country_code": "US",
            "telephone_number": "304-596-5780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4014J Mountville Rd",
            "address_purpose": "LOCATION",
            "city": "Jefferson",
            "state": "MD",
            "postal_code": "217557713",
            "country_code": "US",
            "telephone_number": "240-986-1001",
            "fax_number": "240-986-1002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37 Rosco Drive",
            "address_purpose": "LOCATION",
            "city": "Bunker Hill",
            "state": "WV",
            "postal_code": "25413",
            "country_code": "US",
            "telephone_number": "540-631-5605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "198 S Viking Way",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254015300",
            "country_code": "US",
            "telephone_number": "304-596-5780",
            "fax_number": "304-596-5781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "EMILY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "ACOO7144",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024190704",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "120187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.