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MICHAEL GIBBONS CNP
NPI 1063888253
Nurse Practitioner - Psychiatric/Mental Health in North Andover, MA

Active since August 11, 2015PECOS Enrolled
4 HIGH ST STE 213, NORTH ANDOVER, MA 01845(617) 529-8170(978) 228-0126 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 5, 2024, Sep 26, 2016 (2 updates tracked since 2016).

About Michael Gibbons Cnp NPPES

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

MICHAEL GIBBONS CNP (NPI 1063888253) is an individual psychiatric/mental health provider in North Andover, Massachusetts, licensed in Massachusetts (RN2264515) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063888253
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMICHAEL GIBBONSCredential: CNP
Location Address4 HIGH ST STE 213North Andover, MA 01845-2679
Mailing Address4 High St Ste 213North Andover, MA 01845-2679 · (617) 529-8170 · Fax (978) 228-0126
Phone(617) 529-8170
Fax(978) 228-0126
Sole ProprietorYes
Enumeration DateAugust 11, 2015
Last NPPES UpdateFebruary 5, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
✔ NPI 1063888253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · RN2264515
4 HIGH ST STE 213, North Andover, MA 01845
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Gibbons Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Gibbons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eliot Community Human Services
17 mi
Mental Health (Including Community Mental Health Center)
125 HARTWELL AVE
Lexington, MA 02421
  • Reassigned Medicare billing, Massachusetts enrollment
  • 167 clinicians in this Medicare group
NPI 1932271632 (781) 861-0890

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01845 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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

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

VIRTUE PSYCHIATRY, PLLC
Nurse Practitioner (Psychiatric/Mental Health)
4 HIGH ST STE 213
NORTH ANDOVER, MA 01845
Essex County (978) 386-6189

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 Michael Gibbons's NPI number?

The NPI number for Michael Gibbons is 1063888253. It was assigned to this individual provider in the NPPES registry on August 11, 2015.

Where is Michael Gibbons located?

Michael Gibbons practices at 4 High St Ste 213, North Andover, MA 01845. The listed phone number is (617) 529-8170.

What is Michael Gibbons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Michael Gibbons enrolled in Medicare?

Yes. Michael Gibbons is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Gibbons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Gibbons reassigns Medicare benefits to Eliot Community Human Services (Lexington, MA). 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 Michael Gibbons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Gibbons accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and WellSense Health Plan list Michael Gibbons as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Gibbons was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.