SIATA ANICA GIBSON NP-C
NPI 1023598091
Nurse Practitioner - Family in Temple Hills, MD

Active since August 18, 2018PECOS EnrolledAccepts Medicare Assignment
4467 OLD BRANCH AVE STE 207, TEMPLE HILLS, MD 20748(301) 630-3900 Get Directions Write a Review

NPPES record last updated: June 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2023, Aug 18, 2018 (2 updates tracked since 2018).

About Siata Anica Gibson Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIATA ANICA GIBSON NP-C (NPI 1023598091) is an individual family provider in Temple Hills, Maryland, licensed in Maryland (R175106) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1023598091
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSIATA ANICA GIBSONCredential: NP-C
Location Address4467 OLD BRANCH AVE STE 207Temple Hills, MD 20748-1854
Mailing Address9002 Early April WayColumbia, MD 21046-1473 · (240) 277-7554
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 18, 2018
Last NPPES UpdateJune 10, 20232 updates tracked since enumeration
NPPES CertifiedJune 10, 2023
NPI 1023598091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MD · R175106
4467 OLD BRANCH AVE STE 207, Temple Hills, MD 20748

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Siata Anica Gibson Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799107538
PECOS Enrollment IDI20200624000022
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
341 services94 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20748 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
4467 OLD BRANCH AVE STE 207
TEMPLE HILLS, MD 20748
Nurse Practitioner
4467 OLD BRANCH AVE STE 207
TEMPLE HILLS, MD 20748

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Siata Gibson's NPI number?

The NPI number for Siata Gibson is 1023598091. It was assigned to this individual provider in the NPPES registry on August 18, 2018.

Where is Siata Gibson located?

Siata Gibson practices at 4467 Old Branch Ave Ste 207, Temple Hills, MD 20748. The listed phone number is (301) 630-3900.

What is Siata Gibson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Siata Gibson enrolled in Medicare?

Yes. Siata Gibson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Siata Gibson was last updated on June 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.