CARLA ANNETTE GIBSON-DETERING FNP
NPI 1164483343
Nurse Practitioner in Shelby, NC

Q: What is Carla Gibson-detering's NPI number?

The NPI number for Carla Gibson-detering is 1164483343. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Q: What is Carla Gibson-detering's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since March 29, 2006PECOS EnrolledAccepts Medicare Assignment

201 E GROVER ST, SHELBY, NC 28150(704) 487-3798(704) 487-3394 Get Directions Write a Review

NPPES record last updated: April 4, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Carla Annette Gibson-detering Fnp NPPES

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

CARLA ANNETTE GIBSON-DETERING FNP (NPI 1164483343) is an individual nurse practitioner in Shelby, North Carolina and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of University Of South Carolina School Of Medicine (1999).

NPPES Registry Identity

NPI1164483343

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCARLA ANNETTE GIBSON-DETERINGCredential: FNP

Location Address201 E GROVER STShelby, NC 28150-3917

Mailing AddressPo Box 601409Charlotte, NC 28260-1409 · (919) 477-5152 · Fax (919) 477-5474

Phone(704) 487-3798

Fax(704) 487-3394

Sole ProprietorYes

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1999

Enumeration DateMarch 29, 2006

Last NPPES UpdateApril 4, 2008

✔ NPI 1164483343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

201 E GROVER ST, Shelby, NC 28150

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Other Identifiers 2

Medicare UPINP20160NC

Medicare PIN2590923NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Carla Annette Gibson-detering Fnp 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 ID2163411661

PECOS Enrollment IDI20040510001186

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.

Areas of Expertise CMS Part B claims

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28150 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 20

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

JUSTEN DANIEL WRIGHT PA-C

Physician Assistant (Medical)