Pamela R Gipson, FNP
Individual provider Active NPI Family Nurse Practitioner · Bridgewater, VA
NPI 1578074563 · NPPES record last updated Sep 16, 2022
Key facts
- NPI
- 1578074563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024175521 (VA)
- Practice address
- 117 College View Drive
Bridgewater, VA 22812-1114 - Phone
- (540) 515-3749
- NPI assigned
- Oct 17, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carilion Healthcare Corporation
Practice addresses (Care Compare)
100 Health Ctr Dr
Bridgewater, VA 22812-9511
Phone (540) 828-2634
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180106000029 | VA | Practitioner - Nurse Practitioner | 8325307978 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Medical Center | Current |
Accepting new patients | |
| Carilion Medical Center | Current |
Accepting new patients | |
| Carilion Healthcare Corporation | Current |
Accepting new patients | |
| Carilion Giles Community Hospital | Current |
Accepting new patients | |
| Carilion Rockbridge Community Hospital | Current |
Accepting new patients | |
| Carilion Giles Community Hospital | Current |
Accepting new patients | |
| Carilion Healthcare Corporation | Current |
Accepting new patients |
Locations
200 High St
Bridgewater, VA 22812
Phone (540) 828-2634
100 Health Center Dr
Bridgewater, VA 22812
Phone (540) 828-2634
2900 Lamb Cir
Christiansburg, VA 24073
Phone (540) 731-2114
1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300
1107B Brookdale St
Martinsville, VA 24112
Phone (276) 634-4400
159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000
2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677
6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110
Interoperability endpoints
- pgipson97611@direct.carilionclinic.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024175521 | VA | Yes |
Addresses
Primary practice location
117 College View Drive
Bridgewater, VA 22812-1114
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5715
Other providers in Bridgewater, VA
- Daniel Travante Flowe
- Tara C Fulk
- V. Philip Gainsback
- Frank Garbato
- William A Gardner
- Tina B Hahn
- Charles William Hale IV
- Robert Roy Hammill
- Patricia Harlow
- Meghan Durette Harris
All providers in Bridgewater, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.