DEVONA J GIBBS FNP
NPI 1215915889
Nurse Practitioner - Critical Care Medicine in Poplar Bluff, MO

Active since January 04, 2006PECOS Enrolled
196 TIMBER RIDGE TRL, POPLAR BLUFF, MO 63901(573) 686-4133(573) 778-1099 Get Directions Write a Review

NPPES record last updated: August 25, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 25, 2016, Nov 10, 2015 (2 updates tracked since 2015).

About Devona J Gibbs Fnp NPPES

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

DEVONA J GIBBS FNP (NPI 1215915889) is an individual critical care medicine provider in Poplar Bluff, Missouri, licensed in Missouri (064033) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215915889
Entity TypeIndividualFemale
Primary Taxonomy363LC0200X
Provider Legal NameDEVONA J GIBBSCredential: FNP
Location Address196 TIMBER RIDGE TRLPoplar Bluff, MO 63901-1595
Mailing Address196 Timber Ridge Trl, Room 205Poplar Bluff, MO 63901-1595 · (573) 778-2888 · Fax (877) 610-3774
Fax(573) 778-1099
Sole ProprietorYes
Enumeration DateJanuary 4, 2006
Last NPPES UpdateAugust 25, 20162 updates tracked since enumeration
✔ NPI 1215915889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License✔ Licensed in MO · 064033
196 TIMBER RIDGE TRL, Poplar Bluff, MO 63901

Other Identifiers 4

Other500000980Travelers Medicare
Medicaid133802758AR
Medicaid428182034MO
Medicare UPINS06965MO

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Devona J Gibbs Fnp 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.

Medicare Billing Reassignments

5

Medicare enrollment records show Devona Gibbs reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rehabilitation, Substance Use Disorder
1369 N WESTWOOD BLVD STE C
Poplar Bluff, MO 63901
  • Reassigned Medicare billing, Missouri enrollment
  • 15 clinicians in this Medicare group
Rehabilitation, Substance Use Disorder
1369 N WESTWOOD BLVD
Poplar Bluff, MO 63901
  • Reassigned Medicare billing, Missouri enrollment
  • 11 clinicians in this Medicare group
Rehabilitation, Substance Use Disorder
404 EAST BATTLEFIELD
Springfield, MO 65807
  • Reassigned Medicare billing, Missouri enrollment
  • 12 clinicians in this Medicare group
Rehabilitation, Substance Use Disorder
2551 W KEARNEY ST
Springfield, MO 65803
  • Reassigned Medicare billing, Missouri enrollment
  • 10 clinicians in this Medicare group
Rehabilitation, Substance Use Disorder
2919 E 4TH ST
Joplin, MO 64801
  • Reassigned Medicare billing, Missouri enrollment
  • 11 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 63901 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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 Devona Gibbs's NPI number?

The NPI number for Devona Gibbs is 1215915889. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Devona Gibbs located?

Devona Gibbs practices at 196 Timber Ridge Trl, Poplar Bluff, MO 63901. The listed phone number is (573) 686-4133.

What is Devona Gibbs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Is Devona Gibbs enrolled in Medicare?

Yes. Devona Gibbs is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Devona Gibbs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Devona Gibbs reassigns Medicare benefits to 5 organizations: Bhg Lxxiv, LLC (Poplar Bluff, MO), Bhgxxix, LLC (Poplar Bluff, MO), Drd Management, Inc (Springfield, MO), Bhg Xliii, LLC (Springfield, MO) and Vcphcs Xv, LLC (Joplin, MO). 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 Devona Gibbs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Devona Gibbs accept?

Health plans from Medica list Devona Gibbs 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 Devona Gibbs was last updated on August 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.