MARY TERESA GIBSON ACNPC-AG
NPI 1144916297
Surgery - Trauma Surgery in Goodyear, AZ

Q: What is Mary Gibson's NPI number?

The NPI number for Mary Gibson is 1144916297. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Q: What is Mary Gibson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Q: When was this NPI record last updated?

The NPPES record for Mary Gibson was last updated on April 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 12, 2023PECOS Enrolled

13677 W MCDOWELL RD, GOODYEAR, AZ 85395(623) 853-3832 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mary Teresa Gibson Acnpc-ag NPPES

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

MARY TERESA GIBSON ACNPC-AG (NPI 1144916297) is an individual trauma surgery provider in Goodyear, Arizona, licensed in Arizona (290448) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1144916297

Entity TypeIndividualFemale

Primary Taxonomy2086S0127X

Provider Legal NameMARY TERESA GIBSONCredential: ACNPC-AG

Location Address13677 W MCDOWELL RDGoodyear, AZ 85395-2635

Mailing Address14175 W Indian School Rd Ste B4Goodyear, AZ 85395-8494 · (623) 853-3832

Phone(623) 853-3832

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateApril 12, 2023

NPPES CertifiedApril 12, 2023

✔ NPI 1144916297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0127X

License✔ Licensed in AZ · 290448

Definition

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

13677 W MCDOWELL RD, Goodyear, AZ 85395

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Teresa Gibson Acnpc-ag is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496250672

PECOS Enrollment IDI20250926003487

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.