MR. JESSE GRAHAM GIBBONS AA-C
NPI 1245515295
Anesthesiologist Assistant in St. Louis, MO
About Mr. Jesse Graham Gibbons Aa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JESSE GRAHAM GIBBONS AA-C (NPI 1245515295) is an individual anesthesiologist assistant in St. Louis, Missouri, licensed in Missouri (2011032476) and active in the NPI registry since October 2011. He is affiliated with Christian Hospital Northeast and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
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. Jesse Graham Gibbons Aa-c 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 Reassignment
Medicare enrollment records show Jesse Gibbons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Louis, MO 63136
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Midwest Anesthesia Providers Sc
- 230 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Christian Hospital Northeast
Acute Care Hospitals · Saint Louis, MOOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jesse Gibbons's NPI number?
The NPI number for Jesse Gibbons is 1245515295. It was assigned to this individual provider in the NPPES registry on October 20, 2011.
Where is Jesse Gibbons located?
Jesse Gibbons practices at 3635 Vista, St. Louis, MO 63110. The listed phone number is (314) 577-8000.
What is Jesse Gibbons's specialty?
The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.
Is Jesse Gibbons enrolled in Medicare?
Yes. Jesse Gibbons 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 organization bills Medicare for Jesse Gibbons's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Gibbons reassigns Medicare benefits to Midwest Anesthesia Providers S.C (Saint Louis, MO). The 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 Jesse Gibbons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jesse Gibbons affiliated with any hospitals?
According to CMS data, Jesse Gibbons is affiliated with Christian Hospital Northeast.
When was this NPI record last updated?
The NPPES record for Jesse Gibbons was last updated on October 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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. Jesse Graham Gibbons, AA-C · NPI 1245515295
Anesthesiologist Assistant physician in St. Louis, Missouri. Individual provider, active in the CMS NPPES registry since October 20, 2011.
## Identity
- **NPI:** 1245515295 (Entity type: Individual)
- **Enumerated:** October 20, 2011
- **Primary specialty:** Anesthesiologist Assistant · taxonomy 367H00000X
- **State license:** 2011032476 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3635 VISTA, St. Louis, MO 63110
- **Phone:** (314) 577-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Midwest Anesthesia Providers S.C (NPI 1295189082, Saint Louis, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** October 20, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1245515295) · Data from the CMS NPPES public registry.