Individual provider Active NPI

Karen Gibbs, NP-C

  • Family Nurse Practitioner
  • Springfield, OR
National Provider Identifier
1912451998
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201905666NP-PP Issued in OR
Practice address
3355 Riverbend Dr Ste 500
Springfield, OR 97477-8800
Phone
(541) 868-9500
Fax
(541) 685-5920
NPI assigned
Aug 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP8434 AZ
Family Nurse Practitioner 363LF0000X 201905666NP-PP OR Primary

Addresses

Primary practice location

3355 Riverbend Dr Ste 500
Springfield, OR 97477-8800

Mailing address

3355 Riverbend Dr Ste 500
Springfield, OR 97477-8800
Phone (541) 868-9500

Other identifiers 1

IdentifierTypeStateIssuer
500772602MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20200127002517 OR Practitioner - Nurse Practitioner 5890073407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eugene Gastroenterology Consultants PCGroup PAC ID 9830185875, 16 clinicians

Practice addresses (Care Compare)

3355 Riverbend Dr
Suite 500
Springfield, OR 97477-8800
Phone (541) 868-9500

Hospital & facility affiliations

  • Sacred Heart Medical Center - Riverbend Hospital, Springfield, OR, CCN 380102
  • Bay Area Hospital Hospital, Coos Bay, OR, CCN 380090
  • Mercy Medical Center Hospital, Roseburg, OR, CCN 380027
  • McKenzie-Willamette Medical Center Hospital, Springfield, OR, CCN 380020

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.74
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eugene Gastroenterology Consultants PC Family CurrentSince Feb 3, 2020 Accepting new patients

Locations

3355 Riverbend Dr
#500
Springfield, OR 97477
Phone (541) 868-9506

3355 Riverbend Dr
Ste 500
Springfield, OR 97477
Phone (541) 868-9506

Organizations & group practices 1

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 5

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": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1912451998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 RIVERBEND DR STE 500",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974778800",
            "telephone_number": "541-868-9500",
            "fax_number": "541-685-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 RIVERBEND DR STE 500",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974778800",
            "telephone_number": "541-868-9500",
            "fax_number": "541-685-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "KAREN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-08",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8434",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201905666NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500772602",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.