Jennifer B. Gibson, MS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2645 Nall St
Port Neches, TX 77651-4707

Phone

(409) 210-3336

Fax

(409) 527-3969

NPI assigned

Dec 23, 2020

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 TX

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

Physician Assistant

Education

Baylor College of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

K Paul Gerstenberg, D O, P aGroup PAC ID 1254314511, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034
• The Medical Center of Southeast Texas Hospital, Port Arthur, TX, CCN 450518

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

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.

• K Paul Gerstenberg, D O, P a

  • Family Medicine Physician
  • Port Neches, TX
  • NPI 1104824507
  Medicare reassignment Care Compare group

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

• Christus Health Southeast Texas

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1679557888
  Care Compare affiliation
• Hsa Port Arthur, LLC

  • General Acute Care Hospital
  • Port Arthur, TX
  • NPI 1194548073
  Care Compare affiliation

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1740877893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 NALL ST",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776514707",
            "telephone_number": "409-210-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 NALL ST",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776514707",
            "telephone_number": "409-210-3336",
            "fax_number": "409-527-3969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2927 Nall St",
            "address_purpose": "LOCATION",
            "city": "Port Neches",
            "state": "TX",
            "postal_code": "776515603",
            "country_code": "US",
            "telephone_number": "409-210-3336",
            "fax_number": "409-527-3969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JENNIFER",
        "middle_name": "B.",
        "credential": "MS, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Sonali Vijesh Patel MD PLLC
• Lennie De Farmer
• Robert Yates Faseler, D.O.
• Brandy Fontenot
• K Gerstenberg, D.O.
• Golden Thread Home Care LLC
• Golden Triangle Anesthesia Associates
• Sarah Hatfield, RDN
• HCH Medical Clinic, Inc
• Matthew Hebert

• Physician Assistant in Port Neches, TX
• Providers in Port Neches, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.