ERINNE GIBSON
NPI 1104247345
Counselor - Mental Health in Pine City, NY
About Erinne Gibson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERINNE GIBSON (NPI 1104247345) is an individual mental health provider in Pine City, New York and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Erinne Gibson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Erinne Gibson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Toms River, NJ 08753
- Reassigned Medicare billing, New York enrollment
- 62 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PINE CITY, NY 14871
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 Erinne Gibson's NPI number?
The NPI number for Erinne Gibson is 1104247345. It was assigned to this individual provider in the NPPES registry on December 13, 2013.
Where is Erinne Gibson located?
Erinne Gibson practices at 1520 Pennsylvania Ave, Pine City, NY 14871. The listed phone number is (607) 331-3121.
What is Erinne Gibson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Erinne Gibson enrolled in Medicare?
Yes. Erinne Gibson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Erinne Gibson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Erinne Gibson reassigns Medicare benefits to Wagner Medical PC (Toms River, NJ). 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 Erinne Gibson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Erinne Gibson accept?
Health plans from Oscar Health list Erinne 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 Erinne Gibson was last updated on September 19, 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.
# Erinne Gibson · NPI 1104247345
Mental Health provider in Pine City, New York. Individual provider, active in the CMS NPPES registry since December 13, 2013.
## Identity
- **NPI:** 1104247345 (Entity type: Individual)
- **Enumerated:** December 13, 2013
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 1520 PENNSYLVANIA AVE, Pine City, NY 14871-9108
- **Phone:** (607) 331-3121
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Wagner Medical PC (NPI 1235951187, Toms River, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104247345) · Data from the CMS NPPES public registry.