Individual provider Active NPI

Jessica Danielle Gibson, FNP-BC

  • Family Nurse Practitioner
  • Delta, CO
National Provider Identifier
1972270288
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0996826-NP Issued in CO
Practice address
296 Stafford LN
Delta, CO 81416-2273
Phone
(970) 874-5777
NPI assigned
Aug 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0996826-NP CO Primary

Addresses

Primary practice location

296 Stafford LN
Delta, CO 81416-2273

Mailing address

PO Box 10100
Delta, CO 81416-0008
Phone (970) 874-7681

Other practice location 1

230 Hotchkiss Ave
Hotchkiss, CO 81419-7608
Phone (970) 872-1400

Other practice location 2

1450 Burgess St
Delta, CO 81416-2849
Phone (970) 874-7668

Other identifiers 1

IdentifierTypeStateIssuer
9000196843MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20210928000039 CO Practitioner - Nurse Practitioner 4688071020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta County Memorial HospitalGroup PAC ID 1850200601, 107 clinicians

Practice addresses (Care Compare)

296 Stafford LN
Delta, CO 81416-2243
Phone (970) 399-2635

Hospital & facility affiliations

  • Delta County Memorial Hospital Hospital, Delta, CO, CCN 060071

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0996826-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delta County Memorial Hospital CurrentSince Nov 1, 2021 Accepting new patients
Delta County Memorial Hospital CurrentSince Nov 1, 2021 Accepting new patients
Delta County Memorial Hospital Counselor Past Accepting new patients

Locations

1450 Burgess St
Delta, CO 81416
Phone (970) 874-7668

70 Stafford Ln
Delta, CO 81416
Phone (970) 399-2880

1501 E 3rd St
Delta, CO 81416
Phone (970) 874-2470

296 Stafford Ln
Delta, CO 81416
Phone (970) 874-4399

296 Stafford Ln
Ste B
Delta, CO 81416
Phone (970) 874-4427

555 Meeker St
Delta, CO 81416
Phone (970) 201-1467

296 Stafford Ln
Ste A
Delta, CO 81416
Phone (970) 874-5777

230 Hotchkiss Ave
Hotchkiss, CO 81419
Phone (970) 872-1400

Interoperability endpoints

  • Direct secure messaging: jessica.gibson.1@12539.direct.athenahealth.com

Organizations & group practices 6

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 1

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": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1972270288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10100",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814160008",
            "telephone_number": "970-874-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 STAFFORD LN",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814162273",
            "telephone_number": "970-874-5777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Hotchkiss Ave",
            "address_purpose": "LOCATION",
            "city": "Hotchkiss",
            "state": "CO",
            "postal_code": "814197608",
            "country_code": "US",
            "telephone_number": "970-872-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 Burgess St",
            "address_purpose": "LOCATION",
            "city": "Delta",
            "state": "CO",
            "postal_code": "814162849",
            "country_code": "US",
            "telephone_number": "970-874-7668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JESSICA",
        "middle_name": "DANIELLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0996826-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000196843",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, CO

Sources for this page

Verify at the official NPI Registry.