AMY R. GIBSON APN-C NPI 1003002858
Nurse Practitioner in Plainfield, NJ
About AMY GIBSON
Amy Gibson is a provider established in Plainfield, New Jersey and her medical specialization is nurse practitioner. The NPI number of Amy Gibson is 1003002858 and was assigned on September 2007. The practitioner's primary taxonomy code is 363L00000X with license number 26NC08675800 (NJ). The provider is registered as an individual and her NPI record was last updated 15 years ago.
A nurse practitioner (NP) like Amy R. Gibson Apn-c is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Amy Gibson is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Amy Gibson is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 96.2, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
| NPI | 1003002858 |
| Provider Name | AMY R. GIBSON APN-C |
| Provider Location Address | 1314 PARK AVE PLAINFIELD, NJ 07060 |
| Provider Mailing Address | 1314 PARK AVE PLAINFIELD, NJ 07060 |
| Gender | Female |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | Yes |
| Is Organization Subpart? | N/A |
| Enumeration Date | 09-14-2007 |
| Last Update Date | 09-14-2007 |
Primary Taxonomy
| Taxonomy Code | 363L00000X |
| Classification | Nurse Practitioner |
| Type | Physician Assistants & Advanced Practice Nursing Providers |
| License No. | 26NC08675800 |
| License State | NJ |
| Taxonomy Description | (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Business Address
AMY R. GIBSON APN-C
1314 PARK AVE
PLAINFIELD, NJ
ZIP 07060
Phone: (908) 222-8970
Fax: (908) 222-8762
Mailing Address
AMY R. GIBSON APN-C
1314 PARK AVE
PLAINFIELD, NJ
ZIP 07060
Phone: (908) 222-8970
Fax: (908) 222-8762
Medicare Participation
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 100 | |
|
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | 76.5 | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | 40 | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 96.2 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| Q35230 | MEDICARE UPIN (02) | NJ |
Other Providers at the same location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1750384178 | JOHN W FERRANTE MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1314 PARK AVE PLAINFIELD, NJ 07060 (908) 756-6218 |
| 1700833092 | DR. CHARLES ALLEN LEFF M.D. Individual | Specialist | 1314 PARK AVE PLAINFIELD, NJ 07060 (908) 754-0400 |
| 1518982388 | SALEEM HUSAIN MD PC Organization | Internal Medicine (Cardiovascular Disease) | 1314 PARK AVE SUITE 9 PLAINFIELD, NJ 07060 (908) 222-8970 |
| 1215081385 | MS. PRINCETTA ANN EDWARDS LCSW LIC CLINICAL SO Individual | Social Worker (Clinical) | 1314 PARK AVE STE 7 PLAINFIELD, NJ 07060 (908) 755-3392 |
| 1972658896 | ELRICK A MURRAY MD Individual | Obstetrics & Gynecology | 1314 PARK AVE SUITE 4 PLAINFIELD, NJ 07060 (908) 753-0440 |
| 1811022544 | JOHN W FERRANTE MD PA Organization | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1314 PARK AVE PLAINFIELD, NJ 07060 (908) 756-6218 |
| 1164542718 | REGROUP BEHAVIORAL HEALTH SERVICES,PC Organization | Social Worker (Clinical) | 1314 PARK AVE SUITE 7 PLAINFIELD, NJ 07060 (908) 755-3392 |
| 1073746038 | DR. RUCHIKA VERMA DDS Individual | Dentist (General Practice) | 1314 PARK AVE SUITE 5 PLAINFIELD, NJ 07060 (908) 222-2741 |
| 1891192878 | MS. CANDACE DOROTHY WILSON LPC Individual | Counselor (Professional) | 1314 PARK AVE PLAINFIELD, NJ 07060 (973) 755-3392 |
| 1134197346 | SALEEM HUSAIN MD Individual | Internal Medicine (Cardiovascular Disease) | 1314 PARK AVE SUITE 9 PLAINFIELD, NJ 07060 (908) 222-8970 |
| 1639230600 | JOYCE NKWONTA MD. PC. Organization | Internal Medicine | 1314 PARK AVE SUITE 1 PLAINFIELD, NJ 07060 (908) 561-9733 |
| 1467408047 | JOYCE NKWONTA MD Individual | Internal Medicine | 1314 PARK AVE STE 1 PLAINFIELD, NJ 07060 (908) 561-9733 |
| 1366480717 | HEMATOLOGY-ONCOLOGY ASSOCIATES, P.A. Organization | Specialist | 1314 PARK AVE PLAINFIELD, NJ 07060 (908) 754-0400 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.