Mandy Gibson, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

236636 Issued in LA

Practice address

402 McMillan Rd
West Monroe, LA 71291-5326

Phone

(318) 338-3540

NPI assigned

Aug 19, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiovascular Diagnostic CenterGroup PAC ID 1759456676, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Franklin Medical Center Hospital, Winnsboro, LA, CCN 190140
• Richardson Medical Center Hospital, Rayville, LA, CCN 190151
• Glenwood Regional Medical Center Hospital, West Monroe, LA, CCN 190160
• Richland Parish Hospital-Delhi Hospital, Delhi, LA, CCN 191323

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IDEIDD/Endpoint/IDEIDD

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.

• Cardiovascular Diagnostic Center

  • Cardiovascular Disease Physician
  • West Monroe, LA
  • NPI 1497894620
  Medicare reassignment Care Compare group NPD
• Franklin Parish Hospital

  • Psychiatric Hospital Unit
  • Winnsboro, LA
  • NPI 1093763526
  NPD (past)

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

• Franklin Parish Hospital Service Dist 1

  • Rural Acute Care Hospital
  • Winnsboro, LA
  • NPI 1356399539
  Care Compare affiliation
• Hospital Service District No 1-a of the Parish of Richland State of la

  • Critical Access Hospital
  • Delhi, LA
  • NPI 1336109768
  Care Compare affiliation
• Hsa Glenwood, LLC

  • General Acute Care Hospital
  • West Monroe, LA
  • NPI 1548083421
  Care Compare affiliation
• Richland Parish Hospital Service District No 1-B

  • General Acute Care Hospital
  • Rayville, LA
  • NPI 1255370144
  Care Compare affiliation

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1639901424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 MCMILLAN RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MCMILLAN RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915326",
            "telephone_number": "318-338-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "MANDY",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "236636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.

Verify at the official NPI Registry.