Angela Lynn Gibbons, PHYSICIAN ASSISTANT

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4445 Issued in OK

Practice address

1334 N Harville Rd
Duncan, OK 73533-1514

Phone

(580) 255-8564

Fax

(580) 255-8640

NPI assigned

Oct 22, 2020

Sex

Female

Sole proprietor

No

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 OK

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

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Falling Water Medical Associates PLLCGroup PAC ID 7911957139, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Health Watch Health Care of Duncan, LLC Home health agency, Duncan, OK, CCN 377296
• Elara Caring IV Home health agency, Chickasha, OK, CCN 377690
• A Path of Care Home Health VI, LLC Home health agency, Lawton, OK, CCN 377669
• Duncan Regional Hospital, Inc Hospital, Duncan, OK, CCN 370023

Merit-based Incentive Payment System (MIPS)

Final score

96.75 of 100Reported as individual

Quality

100

Improvement activities

40

Cost

86.72

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Fallingwater Medical Associates, PLLC

  • Family Medicine Physician
  • Duncan, OK
  • NPI 1538109319
  Medicare reassignment Care Compare group
• GDN LLC

  • Urgent Care Clinic/Center
  • Duncan, OK
  • NPI 1720554231
  Medicare reassignment
• Falling Water Medical Associates, PLLC

  • Family Medicine Physician
  • Duncan, OK
  • NPI 1407366784
  NPD
• Duncan Regional Hospital, Inc.

  • Rural Acute Care Hospital
  • Duncan, OK
  • NPI 1851396394
  NPD (past)

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

• A Path of Care Home Health VI, LLC

  • Home Health Agency
  • Lawton, OK
  • NPI 1639864986
  Care Compare affiliation
• Duncan Regional Hospital, Inc.

  • Rural Acute Care Hospital
  • Duncan, OK
  • NPI 1851396394
  Care Compare affiliation
• Health Watch Health Care of Duncan, LLC

  • Home Health Agency
  • Duncan, OK
  • NPI 1851716690
  Care Compare affiliation
• Ross Home Health of Chickasha LLC

  • Home Health Agency
  • Chickasha, OK
  • NPI 1699722991
  Care Compare affiliation

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1871192633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 N HARVILLE RD",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331514",
            "telephone_number": "580-255-8564",
            "fax_number": "580-255-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 N HARVILLE RD",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331514",
            "telephone_number": "580-255-8564",
            "fax_number": "580-255-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "ANGELA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Medical PLLC
• Crystal George
• Gerald D Davis DDS Inc PC
• Gerald Davis, DDS, Inc PC
• Jordan Gibbon, DPM
• Gilbreth Family Medicine, PLLC
• Judith Marie Gilbreth, M.D.
• Jacqueline L Gillespie, ARNP
• Gillispie Counseling Services
• Gillispie Family Ministries

• Family Medicine Physician in Duncan, OK
• Providers in Duncan, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.