Celeste Jibben, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

44444 Issued in MN

Practice address

10738 Rist Canyon Rd
Bellvue, CO 80512-6206

Phone

(970) 221-5876

NPI assigned

May 11, 2006

Sex

Female

Sole proprietor

No

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.

• Aitkin Community Hospital, Inc.

  • Critical Access Hospital
  • Aitkin, MN
  • NPI 1942277835

  MN

  Medicare reassignment NPD
• County of Meeker

  • Rural Health Clinic/Center
  • Litchfield, MN
  • NPI 1083221816

  MN

  Medicare reassignment NPD
• Fairview Health Services

  • Emergency Medicine Physician
  • Minneapolis, MN
  • NPI 1811077175

  MN

  Medicare reassignment NPD
• Aitkin Community Hospital, Inc.

  • Community/Retail Pharmacy
  • Aitkin, MN
  • NPI 1497377287
  NPD
• County of Meeker

  • Medicare Defined Swing Bed Hospital Unit
  • Litchfield, MN
  • NPI 1578718482
  NPD
• Fairview Health Services

  • General Acute Care Hospital
  • Minneapolis, MN
  • NPI 1013994359
  NPD
• Fairview Health Services

  • Land Ambulance
  • Saint Paul, MN
  • NPI 1710212485
  NPD
• Intrawest Medical Services, P.C

  • Emergency Medical Services (Emergency Medicine) Physician
  • Laramie, WY
  • NPI 1770503518
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 16, 2014.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1891745519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10738 RIST CANYON RD",
            "city": "BELLVUE",
            "state": "CO",
            "postal_code": "805126206",
            "telephone_number": "970-221-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10738 RIST CANYON RD",
            "city": "BELLVUE",
            "state": "CO",
            "postal_code": "805126206",
            "telephone_number": "970-221-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIBBEN",
        "first_name": "CELESTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "44444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jolie L Dekleva, MPH
• Hunter J Dickson, LPCC
• Anne Maureen Dixon
• Freedom Mobile Hearing Services LLC
• Interpersonal Solutions LLC
• Molly Bea McLean, LPC.0012071
• Christine Andrea Russell, AU.D.
• Derrick R Stonecipher, MS

• All providers in Bellvue, CO
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.