HEATHER MICHELLE GILBERT CRNP
NPI 1205400165
Nurse Practitioner - Pediatrics in Mobile, AL

Active since May 16, 2021PECOS Enrolled
96.56/100
CMS Quality Rating
1700 CENTER ST, MOBILE, AL 36604(251) 415-1144 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 22, 2023, May 24, 2021, May 16, 2021 (3 updates tracked since 2021).

About Heather Michelle Gilbert Crnp NPPES

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

HEATHER MICHELLE GILBERT CRNP (NPI 1205400165) is an individual pediatrics provider in Mobile, Alabama, licensed in Alabama (3-000602) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205400165
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameHEATHER MICHELLE GILBERTCredential: CRNP
Location Address1700 CENTER STMobile, AL 36604-3301
Mailing AddressPo Box 746450Atlanta, GA 30374-6450 · (866) 401-3057 · Fax (318) 868-6430
Sole ProprietorNo
Enumeration DateMay 16, 2021
Last NPPES UpdateFebruary 22, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2023
NPI 1205400165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses Licensed in AL · 3-000602 Licensed in FL · APRN11009340
1700 CENTER ST, Mobile, AL 36604

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Heather Michelle Gilbert Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36604 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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.

96.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.76
Promoting Interoperability100
Improvement Activities40

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.

Emergency Medicine (Pediatric Emergency Medicine)
1700 CENTER ST
MOBILE, AL 36604
Nurse Practitioner (Neonatal)
1700 CENTER ST, DIVISION OF NEONATOLOGY
MOBILE, AL 36604
Pediatrics (Pediatric Emergency Medicine)
1700 CENTER ST
MOBILE, AL 36604
General Acute Care Hospital (Children)
1700 CENTER ST
MOBILE, AL 36604
Pediatrics (Neonatal-Perinatal Medicine)
1700 CENTER ST
MOBILE, AL 36604
Registered Nurse (Critical Care Medicine)
1700 CENTER ST
MOBILE, AL 36604
Registered Nurse (Maternal Newborn)
1700 CENTER ST
MOBILE, AL 36604
Student in an Organized Health Care Education/Training Program
1700 CENTER ST, CWEB 1, RM 1538
MOBILE, AL 36604

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 Heather Gilbert's NPI number?

The NPI number for Heather Gilbert is 1205400165. It was assigned to this individual provider in the NPPES registry on May 16, 2021.

Where is Heather Gilbert located?

Heather Gilbert practices at 1700 Center St, Mobile, AL 36604. The listed phone number is (251) 415-1144.

What is Heather Gilbert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Heather Gilbert enrolled in Medicare?

Yes. Heather Gilbert is registered in the Medicare PECOS enrollment system.

What insurance does Heather Gilbert accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Heather Gilbert 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 Heather Gilbert was last updated on February 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.