Kevin Scott Gibbs, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

347986 Issued in NY

Practice address

6668 Fourth Section Rd
Brockport, NY 14420-2448

Phone

(585) 368-6870

Fax

(585) 368-6871

NPI assigned

Jan 16, 2020

Last updated

Mar 16, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St James HospitalGroup PAC ID 0345154480, 130 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St James Hospital Hospital, Hornell, NY, CCN 330151
• Jones Memorial Hospital Hospital, Wellsville, NY, CCN 330096

Merit-based Incentive Payment System (MIPS)

Final score

83.2 of 100Reported as group

Quality

60.03

Promoting interoperability

99

Improvement activities

40

Cost

73.33

Merit-based Incentive Payment System (MIPS)

Final score

87.99 of 100Reported as group

Quality

77.37

Promoting interoperability

99

Improvement activities

40

Cost

71.18

Merit-based Incentive Payment System (MIPS)

Final score

96.62 of 100Reported as apm

Quality

74.51

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kgibbs137730@direct.urmc.rochester.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St James Hospital

  • Rural Acute Care Hospital
  • Hornell, NY
  • NPI 1013985399
  Medicare reassignment Care Compare group NPD
• The Memorial Hospital of William F. and Gertrude F. Jones, Inc.

  dba Jones Memorial Hospital

  • General Acute Care Hospital
  • Wellsville, NY
  • NPI 1720030703
  Medicare reassignment NPD
• The Unity Hospital of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1760421713
  Medicare reassignment NPD
• Binghamton University

  • Primary Care Clinic/Center
  • Binghamton, NY
  • NPI 1558901173
  NPD
• The Memorial Hospital of William F. and Gertrude F. Jones, Inc.

  dba Jones Memorial Hospital

  • Rural Health Clinic/Center
  • Hornell, NY
  • NPI 1457974644
  NPD
• The Unity Hospital of Rochester

  dba Unity Physician Services

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1457395766
  NPD
• Binghamton University Health Services

  • Student Health Clinic/Center
  • Binghamton, NY
  • NPI 1568679520
  NPD (past)

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

• St James Hospital

  • Rural Acute Care Hospital
  • Hornell, NY
  • NPI 1013985399
  Care Compare affiliation
• The Memorial Hospital of William F. and Gertrude F. Jones, Inc.

  dba Jones Memorial Hospital

  • General Acute Care Hospital
  • Wellsville, NY
  • NPI 1720030703
  Care Compare affiliation

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1811527096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6668 FOURTH SECTION RD",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144202448",
            "telephone_number": "585-368-6870",
            "fax_number": "585-368-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6668 FOURTH SECTION RD",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144202448",
            "telephone_number": "585-368-6870",
            "fax_number": "585-368-6871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 Vestal Pkwy E",
            "address_purpose": "LOCATION",
            "city": "Binghamton",
            "state": "NY",
            "postal_code": "139024400",
            "country_code": "US",
            "telephone_number": "607-777-4954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "KEVIN",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "717458-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kgibbs241294@direct.rochesterregional.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6668 Fourth Section Rd",
            "city": "Brockport",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144202448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pankaj Garg, M.D.
• Angela Ann Gebbie, OTR/L
• Sabrina Geist
• Amanda L Gekoski, LPN
• Tonia Genrich, RN, BSN
• Catherine Goetz, PA
• James Peter Goetz, M.D.
• Samantha Elaine Golden, LMHC, NCC, CCTP
• Joel Gomez
• David A Good, RPH

• Family Nurse Practitioner in Brockport, NY
• Providers in Brockport, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.