MRS. STACEY NICOLE GIBSON CRNP
NPI 1154876423
Nurse Practitioner - Family in Hagerstown, MD
About Mrs. Stacey Nicole Gibson Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. STACEY NICOLE GIBSON CRNP (NPI 1154876423) is an individual family provider in Hagerstown, Maryland, licensed in Maryland (R170910) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hagerstown, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Stacey Nicole Gibson Crnp 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.
Medicare Billing Reassignments
3Medicare enrollment records show Stacey Gibson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kearneysville, WV 25430
- Reassigned Medicare billing, West Virginia enrollment
- 4 clinicians in this Medicare group
Nashville, TN 37219
- Reassigned Medicare billing, West Virginia enrollment
- 80 clinicians in this Medicare group
Scottsdale, AZ 85258
- Reassigned Medicare billing, West Virginia enrollment
- 68 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 15
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21742 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HAGERSTOWN, MD 21742
HAGERSTOWN, MD 21742
HAGERSTOWN, MD 21742
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 Stacey Gibson's NPI number?
The NPI number for Stacey Gibson is 1154876423. It was assigned to this individual provider in the NPPES registry on August 16, 2016. The provider is also known as Mrs. Stacey Nicole Talbert Rn.
Where is Stacey Gibson located?
Stacey Gibson practices at 11110 Medical Campus Rd Ste 147, Hagerstown, MD 21742. The listed phone number is (301) 714-4350.
What is Stacey Gibson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stacey Gibson enrolled in Medicare?
Yes. Stacey 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.
Which organizations bill Medicare for Stacey Gibson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Gibson reassigns Medicare benefits to 3 organizations: Hospice Of The Panhandle, Inc. (Kearneysville, WV), Matrix Medical Plus (Nashville, TN) and Matrix Medical Network Of West (Scottsdale, AZ). Each 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 Stacey Gibson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stacey Gibson was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Stacey Nicole Gibson, CRNP · NPI 1154876423
Family physician in Hagerstown, Maryland. Individual provider, active in the CMS NPPES registry since August 16, 2016.
## Identity
- **NPI:** 1154876423 (Entity type: Individual)
- **Enumerated:** August 16, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R170910 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 11110 MEDICAL CAMPUS RD STE 147, Hagerstown, MD 21742-6755
- **Phone:** (301) 714-4350
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Hospice Of The Panhandle, Inc. (NPI 1740865179, Kearneysville, WV); Matrix Medical Plus (NPI 1376973461, Nashville, TN); Matrix Medical Network Of West (NPI 1942569033, Scottsdale, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** August 19, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1154876423) · Data from the CMS NPPES public registry.