Individual provider Active NPI

Jill Gibson, MD

  • Rheumatology Physician
  • Longmont, CO
National Provider Identifier
1629120761
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
DR.0049086 Issued in CO
Practice address
1715 Iron Horse Dr Ste 100
Longmont, CO 80501-9617
Phone
(720) 494-4700
Fax
(720) 494-4706
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X DR.0049086 CO Primary

Addresses

Primary practice location

1715 Iron Horse Dr Ste 100
Longmont, CO 80501-9617

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (719) 463-5600

Other practice location 1

1551 Professional Ln
Suite 235
Longmont, CO 80501-6972
Phone (720) 494-4700

Other practice location 2

11990 Grant St Ste 108
Northglenn, CO 80233-1122
Phone (720) 494-4700

Other practice location 3

3455 Lutheran Pkwy Ste 100
Wheat Ridge, CO 80033-6028
Phone (720) 494-4700

Other identifiers 1

IdentifierTypeStateIssuer
47730072MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100922000261 CO Practitioner - Internal MedicinePractitioner - Rheumatology 9638295173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Washington University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optumcare Colorado Medical Group LLCGroup PAC ID 2769706431, 187 clinicians

Practice addresses (Care Compare)

Colorado Springs, CO 80903
Phone (719) 538-2900

1625 Medical Ctr PT
Suite 290
Colorado Springs, CO 80907-8722
Phone (719) 635-5148

Hospital & facility affiliations

  • Intermountain Health Platte Valley Hospital Hospital, Brighton, CO, CCN 060004
  • Centura Health-St Anthony North Health Campus Hospital, Westminster, CO, CCN 060104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0049086COMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Colorado Medical Group LLC Rheumatology CurrentSince Mar 1, 2024 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Mar 1, 2024 Accepting new patients
Midtown Inpatient Medicine LLC CurrentSince Oct 1, 2010 Accepting new patients
New West Physicians Inc CurrentSince May 22, 2023 Accepting new patients
New West Physicians Inc CurrentSince May 22, 2023 Accepting new patients
Optumcare Colorado Medical Group LLC Current Accepting new patients
Optumcare Colorado Medical Group LLC Past Accepting new patients

Locations

1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148

535 16th St
Ste 750
Denver, CO 80202
Phone (303) 825-4646

835 E 18th Ave
Ste 110
Denver, CO 80218
Phone (303) 825-4646

200 Exempla Cir
Lafayette, CO 80026
Phone (303) 689-4110

1707 Cole Blvd
Ste 100
Lakewood, CO 80401
Phone (303) 716-8013

1715 Iron Horse Dr
Ste 100
Longmont, CO 80501
Phone (720) 215-3572

11990 Grant St
Ste 108
Northglenn, CO 80233
Phone (720) 494-7000

3455 Lutheran Pkwy
Ste 100
Wheat Ridge, CO 80033
Phone (303) 318-2900

Interoperability endpoints

  • Direct secure messaging: jgibson119304@westdirect.optum.com

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.

Hospital & facility affiliations 7

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1629120761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "719-463-5600",
            "fax_number": "719-538-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 IRON HORSE DR STE 100",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805019617",
            "telephone_number": "720-494-4700",
            "fax_number": "720-494-4706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1551 Professional Ln",
            "address_2": "Suite 235",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805016972",
            "country_code": "US",
            "telephone_number": "720-494-4700",
            "fax_number": "720-494-4706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11990 Grant St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Northglenn",
            "state": "CO",
            "postal_code": "802331122",
            "country_code": "US",
            "telephone_number": "720-494-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3455 Lutheran Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wheat Ridge",
            "state": "CO",
            "postal_code": "800336028",
            "country_code": "US",
            "telephone_number": "720-494-4700",
            "fax_number": "720-494-4706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CO",
            "license": "DR.0049086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47730072",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.