KELLY ANN GIBSON CRNP
NPI 1043559628
Nurse Practitioner - Acute Care in Elkridge, MD
About Kelly Ann Gibson Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY ANN GIBSON CRNP (NPI 1043559628) is an individual acute care provider in Elkridge, Maryland, licensed in Maryland (R165752) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of At Still University, Arizona School Of Dentistry & Oral Hlth (2012).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Ann Gibson Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Gibson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Columbia, MD 21044
- Reassigned Medicare billing, Maryland enrollment
- 4,483 clinicians in this Medicare group
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 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Johns Hopkins Hospital, The
Acute Care Hospitals · Baltimore, MDJohns Hopkins Howard County Medical Center
Acute Care Hospitals · Columbia, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21075 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Kelly Gibson's NPI number?
The NPI number for Kelly Gibson is 1043559628. It was assigned to this individual provider in the NPPES registry on February 2, 2013. The provider is also known as Kelly Ann Muldoon.
Where is Kelly Gibson located?
Kelly Gibson practices at 6400 Greenfield Rd #908, Elkridge, MD 21075. The listed phone number is (410) 796-5917.
What is Kelly Gibson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kelly Gibson enrolled in Medicare?
Yes. Kelly Gibson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Gibson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Gibson reassigns Medicare benefits to Johns Hopkins University (Columbia, 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 Kelly Gibson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kelly Gibson affiliated with any hospitals?
According to CMS data, Kelly Gibson is affiliated with Johns Hopkins Hospital, The and Johns Hopkins Howard County Medical Center.
When was this NPI record last updated?
The NPPES record for Kelly Gibson was last updated on April 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Kelly Ann Gibson, CRNP · NPI 1043559628
Acute Care physician in Elkridge, Maryland. Individual provider, active in the CMS NPPES registry since February 2, 2013.
## Identity
- **NPI:** 1043559628 (Entity type: Individual)
- **Enumerated:** February 2, 2013
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** R165752 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 6400 GREENFIELD RD, #908, Elkridge, MD 21075-9101
- **Phone:** (410) 796-5917
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Johns Hopkins University (NPI 1285453795, Columbia, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** At Still University, Arizona School Of Dentistry & Oral Hlth, class of 2012
## Record status
- **NPPES last updated:** April 8, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1043559628) · Data from the CMS NPPES public registry.