Samantha Gibson, FNP-BC, APRN
Individual provider Active NPI Family Medicine Physician · Palmer, AK
NPI 1649142001 · NPPES record last updated Sep 23, 2025
Key facts
- NPI
- 1649142001
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 245048 (AK)
- Practice address
- 1901 N Hemmer Rd Apt 208
Palmer, AK 99645-9673 - Phone
- (907) 203-4677
- Fax
- (800) 516-0397
- NPI assigned
- Sep 23, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lakeview Family Practice LLC
Practice addresses (Care Compare)
1901 N Hemmer Rd
Suite 208
Palmer, AK 99645-9690
Phone (907) 203-4677
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
- 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 |
|---|---|---|---|---|
| I20260123002594 | AK | Practitioner - Nurse Practitioner | 5890272595 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 245048 | AK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeview Family Practice, LLC | Current |
Accepting new patients |
Locations
1901 N Hemmer Rd
Apt 208
Palmer, AK 99645
Phone (907) 203-4677
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 245048 | AK | Yes |
Addresses
Primary practice location
1901 N Hemmer Rd Apt 208
Palmer, AK 99645-9673
Mailing address
1901 N Hemmer Rd Apt 208
Palmer, AK 99645-9673
Phone (907) 203-4677
Other providers in Palmer, AK
- General Family Dentistry, Inc.
- Genuine Care Coordination
- Kirsten A Gerrish
- Gabriele M Gerteisen
- Giant Cabbage Properties LLC
- Gina Gilbert
- Sarah Elizabeth Gilliland
- Glacier Surgical Associates, Inc
- Melinda H. Glass
- Tracy Glatz
All providers in Palmer, AK · Family Medicine Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2025. 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.