Individual provider Active NPI

Monique Antionette Gibbs, FNP-C

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1649564477
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024169321 Issued in VA
Practice address
6401 Auburn Dr
Virginia Beach, VA 23464-3601
Phone
(757) 420-2512
Fax
(757) 424-0657
NPI assigned
Jun 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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 0024169321 VA Primary

Addresses

Primary practice location

6401 Auburn Dr
Virginia Beach, VA 23464-3601

Mailing address

6401 Auburn Dr
Virginia Beach, VA 23464-3601
Phone (757) 420-2512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250204003314 MD Practitioner - Nurse Practitioner 1052599800 Reassigns benefits to 2 organizations
I20250610003370 DC Practitioner - Nurse Practitioner 1052599800 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CNP Operating Co LLCGroup PAC ID 8325263734, 63 clinicians

Practice addresses (Care Compare)

6700 Columbia Pike
Annandale, VA 22003-3450
Phone (320) 274-3737

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024169321VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CNP Operating Co LLC CurrentSince Mar 9, 2025 Accepting new patients
PA Post Acute Services PC CurrentSince Mar 9, 2025 Accepting new patients
American Wound Care PC PastSince Apr 9, 2024 Accepting new patients

Locations

2525 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 367-9100

100 Laurel Dr
Elkton, MD 21921
Phone (410) 398-8800

105 Time Sq
Salisbury, MD 21801
Phone (410) 749-2474

2601 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 598-6000

6700 Columbia Pike
Annandale, VA 22003
Phone (703) 256-7000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1649564477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 AUBURN DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643601",
            "telephone_number": "757-420-2512",
            "fax_number": "757-424-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 AUBURN DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643601",
            "telephone_number": "757-420-2512",
            "fax_number": "757-424-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "MONIQUE",
        "middle_name": "ANTIONETTE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024169321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.