LACEY RAE GIBSON CRNA
NPI 1184287633
Nurse Anesthetist, Certified Registered in Tuba City, AZ

Active since April 19, 2019Accepts Medicare Assignment
70.58/100
CMS Quality Rating
167 NORTH MAIN STREET, TUBA CITY, AZ 86045(602) 315-8661 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 26, 2024, Mar 16, 2023, Apr 19, 2019 (3 updates tracked since 2019).

About Lacey Rae Gibson Crna NPPES

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

LACEY RAE GIBSON CRNA (NPI 1184287633) is an individual nurse anesthetist, certified registered in Tuba City, Arizona, licensed in Arizona (227532) and active in the NPI registry since April 2019. She maintains 2 additional practice locations and is a graduate of Other (2019).

NPPES Registry Identity

NPI1184287633
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameLACEY RAE GIBSONCredential: CRNA
Location Address167 NORTH MAIN STREETTuba City, AZ 86045-1621
Mailing Address167 North Main StreetTuba City, AZ 86045-1621 · (602) 315-8661
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 19, 2019
Last NPPES UpdateSeptember 26, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
✔ NPI 1184287633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in AZ · 227532
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN159748 (AZ)
167 NORTH MAIN STREET, Tuba City, AZ 86045

Secondary Practice Locations 2

Location 1101 Bodin CirTravis AFB, CA 94535-1809 · Phone (707) 423-3000
Location 2560 N Switzer Canyon DrFlagstaff, AZ 86001-4844 · Phone (928) 774-3044

Accepted Insurance

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

Lacey Rae Gibson Crna 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 ID3072843671
PECOS Enrollment IDI20190925000341

Medicare Billing Reassignments

10

Medicare enrollment records show Lacey Gibson reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
167 NORTH MAIN STREET
Tuba City, AZ 86045
  • Reassigned Medicare billing, Texas enrollment
  • 540 clinicians in this Medicare group
Ophthalmology
350 N SWITZER CANYON DR
Flagstaff, AZ 86001
  • Reassigned Medicare billing, Arizona enrollment
  • 224 clinicians in this Medicare group
Anesthesiology
1254 W UNIVERSITY AVE STE 130
Flagstaff, AZ 86001
  • Reassigned Medicare billing, Arizona enrollment
  • 4 clinicians in this Medicare group
Optometrist
100 VERDE VALLEY ROAD, STE 114
Sedona, AZ 86351
  • Reassigned Medicare billing, Arizona enrollment
  • 212 clinicians in this Medicare group
Anesthesiology
2525 W GREENWAY RD STE 125
Phoenix, AZ 85023
  • Reassigned Medicare billing, Arizona enrollment
  • 20 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
7301 N 16TH ST STE 102
Phoenix, AZ 85020
  • Reassigned Medicare billing, Arizona enrollment
  • 174 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
4620 E BASELINE RD
Mesa, AZ 85206
  • Reassigned Medicare billing, Arizona enrollment
  • 298 clinicians in this Medicare group
Anesthesiology
603 W BASELINE RD STE 101
Mesa, AZ 85210
  • Reassigned Medicare billing, Arizona enrollment
  • 117 clinicians in this Medicare group
Anesthesiology
2221 LAKESIDE BLVD STE 600
Richardson, TX 75082
  • Reassigned Medicare billing, Arizona enrollment
  • 390 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
8273 GRAND RIVER RD STE 210
Brighton, MI 48114
  • Reassigned Medicare billing, Arizona enrollment
  • 370 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

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.

Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86045 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

70.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality39.68
Promoting Interoperability79
Improvement Activities40
Cost63.1

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.

Registered Nurse (Ambulatory Care)
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Nurse's Aide
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Specialist/Technologist Cardiovascular (Sonography)
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045

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 Lacey Gibson's NPI number?

The NPI number for Lacey Gibson is 1184287633. It was assigned to this individual provider in the NPPES registry on April 19, 2019.

Where is Lacey Gibson located?

Lacey Gibson practices at 167 North Main Street, Tuba City, AZ 86045. The listed phone number is (602) 315-8661.

What is Lacey Gibson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Lacey Gibson enrolled in Medicare?

Yes. Lacey 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 Lacey Gibson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lacey Gibson reassigns Medicare benefits to 10 organizations: Tuba City Regional Health Care Corporation (Tuba City, AZ), Barnet Dulaney Perkins Eye Center, PC (Flagstaff, AZ), Aurora Anesthesia Associates LLC (Flagstaff, AZ), Southwestern Eye Center Ltd (Sedona, AZ), Asap Anesthesia, LLC (Phoenix, AZ) and 5 more organizations, listed in the Medicare section above. 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 Lacey Gibson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lacey Gibson accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and Oscar Insurance Company list Lacey 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 Lacey Gibson was last updated on September 26, 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.