MR. BRAD GIBSON APRN
NPI 1205449261
Nurse Practitioner - Psychiatric/Mental Health in Centerville, OH
About Mr. Brad Gibson Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BRAD GIBSON APRN (NPI 1205449261) is an individual psychiatric/mental health provider in Centerville, Ohio, licensed in Ohio (APRN.CNP.0029637) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Brad Gibson Aprn 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
2Medicare enrollment records show Brad Gibson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Centerville, OH 45458
- Reassigned Medicare billing, Ohio enrollment
Mason, OH 45040
- Reassigned Medicare billing, Ohio enrollment
- 9 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45458 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CENTERVILLE, OH 45458
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 Brad Gibson's NPI number?
The NPI number for Brad Gibson is 1205449261. It was assigned to this individual provider in the NPPES registry on August 28, 2020.
Where is Brad Gibson located?
Brad Gibson practices at 10552 Success Ln Ste L, Centerville, OH 45458. The listed phone number is (937) 280-5711.
What is Brad Gibson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Brad Gibson enrolled in Medicare?
Yes. Brad 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 Brad Gibson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brad Gibson reassigns Medicare benefits to 2 organizations: Beacon St. Psychiatry (Centerville, OH) and Crestview Mental Health Of Ohio, LLC (Mason, OH). 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 Brad Gibson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brad Gibson accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Paramount and 1 other insurer list Brad 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 Brad Gibson was last updated on January 24, 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.
# Mr. Brad Gibson, APRN · NPI 1205449261
Psychiatric/Mental Health physician in Centerville, Ohio. Individual provider, active in the CMS NPPES registry since August 28, 2020.
## Identity
- **NPI:** 1205449261 (Entity type: Individual)
- **Enumerated:** August 28, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** APRN.CNP.0029637 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10552 SUCCESS LN STE L, Centerville, OH 45458-3664
- **Phone:** (937) 280-5711
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Beacon St. Psychiatry (NPI 1780460006, Centerville, OH); Crestview Mental Health Of Ohio, LLC (NPI 1235850405, Mason, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Cincinnati College Of Medicine, class of 2021
## Record status
- **NPPES last updated:** January 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1205449261) · Data from the CMS NPPES public registry.