Molly Alexa Gibbs
Individual provider Active NPI Acute Care Nurse Practitioner · Washington, DC
NPI 1942880331 · NPPES record last updated Mar 2, 2023
Key facts
- NPI
- 1942880331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- NP200004625 (DC)
- Practice address
- 2150 Pennsylvania Ave NW
Washington, DC 20037-3201 - Phone
- (202) 741-2210
- NPI assigned
- Apr 10, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medical Faculty Associates, Inc
Practice addresses (Care Compare)
2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Phone (202) 741-2600
Hospital & facility affiliations
- George Washington Univ Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230320002602 | DC | Practitioner - Nurse Practitioner | 2961802129 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP200004625 | DC | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Faculty Associates, Inc | Current |
Accepting new patients |
Locations
2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-2222
2150 Pennsylvania Ave NW
Fl 1
Washington, DC 20037
Phone (202) 741-2210
900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750
Interoperability endpoints
- mgibbs39373@gwmfa.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 432004 | NY | |
| Acute Care Nurse Practitioner | 363LA2100X | NP200004625 | DC | Yes |
Addresses
Primary practice location
2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Mailing address
430 S Main St
Bradford, MA 01835-7212
Phone (978) 914-0056
Other practice location 1
1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000
Other providers in Washington, DC
- Myles D Gibbons
- Samantha Nicole Gibbs Moore
- Brittany Gibbs
- Hunter R Gibbs
- Karen Lee Gibbs
- Sabrina Gibbs
- Samantha Gibbs
- Unikeque Gibbs
- Ellen Gibby
- Cynthia Livingstone Gibert
All providers in Washington, DC · Acute Care Nurse Practitioner in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.