MRS. JACQUELINE GAILLARD GIBSON PA-C
NPI 1093721714
Physician Assistant - Medical in Raleigh, NC

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
820 S BOYLAN AVE, RALEIGH, NC 27603(919) 733-0740 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Jacqueline Gaillard Gibson Pa-c NPPES

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

MRS. JACQUELINE GAILLARD GIBSON PA-C (NPI 1093721714) is an individual medical provider in Raleigh, North Carolina, licensed in North Carolina (103859) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1093721714
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. JACQUELINE GAILLARD GIBSONCredential: PA-C
Location Address820 S BOYLAN AVERaleigh, NC 27603-2246
Mailing Address216 Wild Holly LnHolly Springs, NC 27540-8654 · (919) 557-6040
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1093721714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NC · 103859
820 S BOYLAN AVE, Raleigh, NC 27603

Accepted Insurance

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

Mrs. Jacqueline Gaillard Gibson Pa-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 ID7810087079
PECOS Enrollment IDI20071212000465
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.

Other Providers at the Same Location NPPES 19

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

Psychiatric Hospital
820 S BOYLAN AVE
RALEIGH, NC 27603
Respiratory Therapist, Registered
820 S BOYLAN AVE
RALEIGH, NC 27603
Nurse Practitioner (Adult Health)
820 S BOYLAN AVE
RALEIGH, NC 27603
Psychiatry & Neurology (Forensic Psychiatry)
820 S BOYLAN AVE
RALEIGH, NC 27603
Occupational Therapist
820 S BOYLAN AVE
RALEIGH, NC 27603
Psychiatric Residential Treatment Facility
820 S BOYLAN AVE
RALEIGH, NC 27603
Psychiatry & Neurology (Psychiatry)
820 S BOYLAN AVE, 2 EAST
RALEIGH, NC 27603
General Acute Care Hospital
820 S BOYLAN AVE
RALEIGH, NC 27603

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 Jacqueline Gibson's NPI number?

The NPI number for Jacqueline Gibson is 1093721714. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Jacqueline Gibson located?

Jacqueline Gibson practices at 820 S Boylan Ave, Raleigh, NC 27603. The listed phone number is (919) 733-0740.

What is Jacqueline Gibson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jacqueline Gibson enrolled in Medicare?

Yes. Jacqueline 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.

What insurance does Jacqueline Gibson accept?

Health plans from Blue Cross and Blue Shield of NC list Jacqueline Gibson 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 Jacqueline Gibson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.