NPIMap

Individual provider Active NPI

Heidi Gibson, NP

  • Family Nurse Practitioner
  • Lapeer, MI
National Provider Identifier
1548822844
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704250491 Issued in MI
Practice address
1794 N Lapeer Rd Ste a
Lapeer, MI 48446-7664
Phone
(810) 721-7476
Fax
(810) 721-7446
NPI assigned
Jul 8, 2019
Last updated
Jun 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704250491 MI Primary

Addresses

Primary practice location

1794 N Lapeer Rd Ste a
Lapeer, MI 48446-7664

Mailing address

1814 S Cedar St
Imlay City, MI 48444-9779
Phone (810) 721-7476

Other practice location 1

1184 Cleaver Rd Ste 300
Caro, MI 48723-1165
Phone (989) 282-4003

Other practice location 2

1184 Cleaver Rd Ste 300
Caro, MI 48723
Phone (989) 282-4003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190716003778 MI Practitioner - Nurse Practitioner 6608101407 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobicare LLCGroup PAC ID 4284984667, 3 clinicians

Practice addresses (Care Compare)

4675 Hill St
Cass City, MI 48726-1008
Phone (989) 912-6275

605 S Lapeer Rd
Suite D
Oxford, MI 48371-6509
Phone (248) 274-6066

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704250491MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deckerville Community Hospital, Inc CurrentSince Dec 1, 2025 Accepting new patients
Arja MD PC CurrentSince Apr 23, 2023 Accepting new patients
Hills & Dales General Hospital, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Deckerville Community Hospital, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Hills & Dales General Hospital, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Northview Medical House Calls PLC CurrentSince Jul 8, 2019 Accepting new patients
Marlette Regional Hospital Current Accepting new patients
Mobicare, LLC Family CurrentSince Feb 1, 2023 Accepting new patients
Marlette Regional Hospital Past Accepting new patients
Marlette Regional Hospital Past Accepting new patients
Cardinal Hospice South, LLC PastSince Feb 1, 2023 Accepting new patients
Hills & Dales General Hospital, Inc. Past Accepting new patients

Locations

1048 E Caro Rd
Caro, MI 48723
Phone (989) 672-1399

1048 E Caro Rd
Ste B
Caro, MI 48723
Phone (989) 912-6532

1184 Cleaver Rd
Ste 300
Caro, MI 48723
Phone (888) 758-5709

4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121

4675 Hill St
Ste B
Cass City, MI 48726
Phone (989) 912-6112

3559 Pine St
Deckerville, MI 48427
Phone (810) 376-2835

801 Rosehill Rd
Jackson, MI 49202
Phone (517) 212-2008

605 S Lapeer Rd
Ste D
Oxford, MI 48371
Phone (248) 274-6066

4760 Fashion Square Blvd
Ste L1
Saginaw, MI 48604
Phone (989) 282-4003

Interoperability endpoints

  • Direct secure messaging: heidi@kmdaa-mi.direct.office.nextgen.com
  • FHIR API: https://api.platform.athenahealth.com/16087/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/i-zcCbJ35X2O5bJkqEF8dvUIAeQf3o9y/

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 10

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": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1548822844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 S CEDAR ST",
            "city": "IMLAY CITY",
            "state": "MI",
            "postal_code": "484449779",
            "telephone_number": "810-721-7476",
            "fax_number": "810-721-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1794 N LAPEER RD STE A",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484467664",
            "telephone_number": "810-721-7476",
            "fax_number": "810-721-7446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1184 Cleaver Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Caro",
            "state": "MI",
            "postal_code": "487231165",
            "country_code": "US",
            "telephone_number": "989-282-4003",
            "fax_number": "888-491-7220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1184 Cleaver Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Caro",
            "state": "MI",
            "postal_code": "48723",
            "country_code": "US",
            "telephone_number": "989-282-4003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "HEIDI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704250491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

Verify at the official NPI Registry.