Active NPI
Zachary Michael Gibbemeyer, PA-C
- Physician Assistant
- Bellevue, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.006796
- Practice address
- 239 Grandview Ave Apt 201
Bellevue, KY 41073-1573 - Phone
- (513) 405-1386
- NPI assigned
- Dec 31, 2020
- Last updated
- Mar 31, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.006796 | OH | Primary |
Addresses
Primary practice location
239 Grandview Ave Apt 201
Bellevue, KY 41073-1573
Mailing address
239 Grandview Ave Apt 201
Bellevue, KY 41073-1573
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, DC, TX, MA, VA, WA, NJ, NV, MD, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 10
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1951 Kidwell Dr
Suite 101
Vienna, VA 22182-3930
Phone (702) 848-4443
2 Park Way
1B
Upper Saddle River, NJ 07458-2345
Phone (201) 882-7526
3825 N Lafayette St
Denver, CO 80205-3316
Phone (303) 500-1518
50 Tice Blvd
Suite A35
Woodcliff Lake, NJ 07677-7681
Phone (201) 882-7526
Merit-based Incentive Payment System (MIPS)
- Final score
- 50.5 of 100
- Quality
- 44.61
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 50.57
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.64 of 100
- Quality
- 74.27
- Improvement activities
- 40
- Cost
- 63.66
Merit-based Incentive Payment System (MIPS)
- Final score
- 64.75 of 100
- Quality
- 55.37
- Improvement activities
- 40
- Cost
- 47.65
Merit-based Incentive Payment System (MIPS)
- Final score
- 56.11 of 100
- Quality
- 50.63
- Improvement activities
- 40
- Cost
- 27.55
Merit-based Incentive Payment System (MIPS)
- Final score
- 65.27 of 100
- Quality
- 45.09
- Improvement activities
- 40
- Cost
- 66.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.006796 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Wound Healing LLC | Family Medicine | Current | Accepting new patients |
| True North Health Navigation LLC | Current | Accepting new patients | |
| Dispatchhealth Advanced Care - Washington PC | Past | Accepting new patients | |
| True North Health Navigation LLC | Past | Accepting new patients | |
| Excella Home Health Agency, LLC | Past | Accepting new patients |
Locations
3825 N Lafayette St
Denver, CO 80205
Phone (303) 505-1518
1 W Court Sq
Ste 750
Decatur, GA 30030
Phone (404) 494-7888
6371 Riverside Dr
Ste 1100
Dublin, OH 43017
Phone (614) 516-6980
Interoperability endpoints
- zachary.gibbemeyer.1@13869.direct.athenahealth.com
Organizations & group practices 11
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.
-
- Emergency Medicine Physician
- Upper Saddle River, NJ
- NPI 1447716873
-
dba Dispatch Health
- Emergency Medicine Physician
- Denver, CO
- NPI 1740622133
DC, VA
-
- Family Medicine Physician
- Dublin, OH
- NPI 1447013511
-
- Urgent Care Clinic/Center
- Cincinnati, OH
- NPI 1982903951
-
- Emergency Medicine Physician
- Auburn, MA
- NPI 1629555842
-
- Emergency Medicine Physician
- Tacoma, WA
- NPI 1013490507
-
dba Memorial Urgent Care
- Urgent Care Clinic/Center
- Marysville, OH
- NPI 1093763757
-
dba DispatchHealth
- Emergency Medicine Physician
- Atlanta, GA
- NPI 1578047536
-
- Hospitalist Physician
- Denver, CO
- NPI 1093324659
-
dba Enhabit Home Health
- Home Health Agency
- Ludlow, MA
- NPI 1356642110
-
dba Dispatchhealth VA
- Emergency Medicine Physician
- Richmond, VA
- NPI 1265950372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1922696350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 GRANDVIEW AVE APT 201",
"city": "BELLEVUE",
"state": "KY",
"postal_code": "410731573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 GRANDVIEW AVE APT 201",
"city": "BELLEVUE",
"state": "KY",
"postal_code": "410731573",
"telephone_number": "513-405-1386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBEMEYER",
"first_name": "ZACHARY",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-31",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.006796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.