MR. JESSE GRAHAM GIBBONS AA-C
NPI 1245515295
Anesthesiologist Assistant in St. Louis, MO

Active since October 20, 2011Accepts Medicare Assignment
3635 VISTA, ST. LOUIS, MO 63110(314) 577-8000 Get Directions Write a Review

NPPES record last updated: October 20, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1245515295
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameMR. JESSE GRAHAM GIBBONSCredential: AA-C
Location Address3635 VISTASt. Louis, MO 63110
Mailing Address853 Mark DrAkron, OH 44313-5842 · (216) 372-1914
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 20, 2011
NPI 1245515295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License Licensed in MO · 2011032476
Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

3635 VISTA, St. Louis, MO 63110

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID648447284
PECOS Enrollment IDI20120123000092

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, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260180
Location11133 Dunn RoadSaint Louis, MO 63136 · St. Louis County
Emergency services

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.

Radiology (Radiation Oncology)
3635 VISTA
ST LOUIS, MO 63110
Surgery
3635 VISTA, 3RD FL
ST LOUIS, MO 63110
Anesthesiology
3635 VISTA
SAINT LOUIS, MO 63110
Radiology (Diagnostic Radiology)
3635 VISTA
ST LOUIS, MO 63110
Transplant Surgery
3635 VISTA
SAINT LOUIS, MO 63110
Surgery
3635 VISTA, 3RD FLOOR
ST LOUIS, MO 63110
Anesthesiology
3635 VISTA
ST LOUIS, MO 63110
Radiology (Radiation Oncology)
3635 VISTA
ST LOUIS, MO 63110

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.

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 with the weekly NPPES data releases published by CMS.