SIATA ANICA GIBSON NP-C
NPI 1023598091
Nurse Practitioner - Family in Temple Hills, MD
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Siata Gibson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Temple Hills, MD 20748
- Reassigned Medicare billing, District of Columbia enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Siata Gibson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Siata Gibson reassigns Medicare benefits to Ebrown-Sgibson Np PC Inc. (Temple Hills, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Siata Gibson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Siata Anica Gibson, NP-C · NPI 1023598091
Family physician in Temple Hills, Maryland. Individual provider, active in the CMS NPPES registry since August 18, 2018.
## Identity
- **NPI:** 1023598091 (Entity type: Individual)
- **Enumerated:** August 18, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R175106 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4467 OLD BRANCH AVE STE 207, Temple Hills, MD 20748-1854
- **Phone:** (301) 630-3900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ebrown-Sgibson Np PC Inc. (NPI 1841973831, Temple Hills, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** June 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1023598091) · Data from the CMS NPPES public registry.