Individual provider Active NPI

Krista Gibbs, FNP-BC

  • Family Nurse Practitioner
  • Flushing, MI
National Provider Identifier
1740723170
Registry record updated Dec 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704292155 Issued in MI
Practice address
6020 W Pierson Rd
Flushing, MI 48433-2335
Phone
(810) 720-1200
NPI assigned
Dec 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2016

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 4704292155 MI Primary

Addresses

Primary practice location

6020 W Pierson Rd
Flushing, MI 48433-2335

Mailing address

6020 W Pierson Rd
Flushing, MI 48433-2335
Phone (810) 720-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20170111003412 MI Practitioner - Nurse Practitioner 7315228087 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports and Regenerative Medicine PLLCGroup PAC ID 0143577486, 7 clinicians
Rau Physical Therapy IncGroup PAC ID 2365721339, 98 clinicians

Practice addresses (Care Compare)

170 W Genesee St
Stem Health Systems
Frankenmuth, MI 48734-1305
Phone (989) 652-7344

193 E Jefferson St
Frankenmuth, MI 48734-1935

Hospital & facility affiliations

  • Covenant Medical Center Hospital, Saginaw, MI, CCN 230070
  • McLaren Flint Hospital, Flint, MI, CCN 230141

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sports and Regenerative Medicine PLLC CurrentSince Sep 25, 2020 Accepting new patients
Flushing Urgent Care PLC CurrentSince Dec 7, 2016 Accepting new patients
Reliantmd Telehealth Group PLLC Nurse Practitioner Past Accepting new patients

Locations

4272 W Vienna Rd
Clio, MI 48420
Phone (810) 687-2850

6020 W Pierson Rd
Flushing, MI 48433
Phone (810) 407-7989

170 W Genesee St
Frankenmuth, MI 48734
Phone (989) 652-7344

700 S Main St
Ste 101B
Lapeer, MI 48446
Phone (810) 720-1200

Interoperability endpoints

  • Direct secure messaging: kgibbs93912@direct.covenanthealthcare.com

Organizations & group practices 4

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 2

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": "1480723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480723200000",
    "number": "1740723170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 W PIERSON RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332335",
            "telephone_number": "810-720-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 W PIERSON RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332335",
            "telephone_number": "810-720-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "KRISTA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-03",
        "last_updated": "2016-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704292155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, MI

Sources for this page

Verify at the official NPI Registry.