AMY R. GIBSON APN-C NPI 1003002858
Nurse Practitioner in Plainfield, NJ
About AMY R. GIBSON APN-C
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.
| NPI | 1003002858 |
| Provider Name | AMY R. GIBSON APN-C |
| Location Address | 1314 PARK AVE PLAINFIELD, NJ 07060 |
| Location Phone | (908) 222-8970 |
| Mailing Address | 1314 PARK AVE PLAINFIELD, NJ 07060 |
| Gender | Female |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | Yes |
| Enumeration Date | 09-14-2007 |
| Last Update Date | 09-14-2007 |
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 health care 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..
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 75, 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.
Primary Taxonomy
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.
| 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. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
Location Map
PECOS Enrollment and Medicare Participation Status
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% | 99.9 | |
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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% | 16.7 | |
|
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 | - | 75 | |
| 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 |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 0 | 2 | 8 | 5 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 0 | 4 | 8 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 0 + 4 + 8 + 1 + 0 + 24 = 42 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 42 = 8 | 8 | ||||||||
The NPI number 1003002858 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
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 |
Frequently Asked Questions
What is Amy Gibson APN-C NPI number?
The NPI number assigned to Amy Gibson APN-C is 1003002858, registered as an "individual" on September 14, 2007
Where is Amy Gibson APN-C located?
The provider is located at 1314 Park Ave Plainfield, Nj 07060 and the phone number is (908) 222-8970
Which is Amy Gibson APN-C specialty?
The provider's speciality is Nurse Practitioner
What insurance does Amy Gibson APN-C accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.
Is Amy Gibson APN-C registered in PECOS?
Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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.
What are Amy Gibson APN-C Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.
How much is a visit to Amy Gibson APN-C?
Medicare beneficiaries should expect a typical cost of $101.4 with an average copayment of $25.35 for new patient appointments. Established patients should expect a typical charge of $116.86 and an average copayment of 29.21. Please review your insurance plan or contact the provider directly to determine your specific costs.
How do I update my NPI information?
The NPI record of Amy Gibson APN-C was last updated on September 14, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]