JONATHAN CURTIS GIBSON AGNP-C
NPI 1245686161
Nurse Practitioner in Grand Rapids, MI

Q: What is Jonathan Gibson's NPI number?

The NPI number for Jonathan Gibson is 1245686161. It was assigned to this individual provider in the NPPES registry on May 10, 2016.

Q: What is Jonathan Gibson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Gibson was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since May 10, 2016PECOS EnrolledAccepts Medicare Assignment

4100 LAKE DR SE, GRAND RAPIDS, MI 49546(616) 267-7414 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 17, 2020, May 10, 2016 (2 updates tracked since 2016).

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About Jonathan Curtis Gibson Agnp-c NPPES

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

JONATHAN CURTIS GIBSON AGNP-C (NPI 1245686161) is an individual nurse practitioner in Grand Rapids, Michigan, licensed in Michigan (4704232359) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1245686161

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJONATHAN CURTIS GIBSONCredential: AGNP-C

Location Address4100 LAKE DR SEGrand Rapids, MI 49546-8292

Mailing Address50 Industrial Park RdBangor, MI 49013-1246 · (269) 427-7937

Phone(616) 267-7414

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMay 10, 2016

Last NPPES UpdateOctober 2, 20252 updates tracked since enumeration

NPPES CertifiedOctober 2, 2025

✔ NPI 1245686161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704232359

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4100 LAKE DR SE, Grand Rapids, MI 49546

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Jonathan Curtis Gibson Agnp-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 ID6709177553

PECOS Enrollment IDI20160624001599

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.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230021

Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County

Emergency services Birthing friendly

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230038

Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

Holland Community Hospital

Acute Care Hospitals · Holland, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230072

Location602 Michigan AveHolland, MI 49423 · Ottawa County

Emergency services Birthing friendly

Bronson South Haven Hospital

Acute Care Hospitals · South Haven, MI

OwnershipGovernment - Hospital District or Authority

CMS Certification Number230085

Location955 S Bailey AveSouth Haven, MI 49090 · Van Buren County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers17 claims57 services$4.20 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers12 claims23 services$0.87 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier15 claims15 services$99.36 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

TELLA KATARINA MINKKINEN PT

Physical Therapist

4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546

Kent County (616) 285-1377

RANDALL SCOTT MEISNER MD

Internal Medicine (Gastroenterology)

4100 LAKE DR SE, SUITE 205
GRAND RAPIDS, MI 49546

Kent County (616) 267-7414

DR. MARYKAY LEHMAN M.D.

Internal Medicine (Pulmonary Disease)

4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546

Kent County (616) 949-8244

GUSTAVO CUMBO-NACHELI

Internal Medicine (Pulmonary Disease)

4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546

Kent County (616) 267-8244

JANET DOMINOWSKI RD

Dietitian, Registered

4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546

Kent County (616) 267-8950

WALTER M BRAUNOHLER M.D.

Orthopaedic Surgery

4100 LAKE DR SE, SUITE 300
GRAND RAPIDS, MI 49546

Kent County (616) 267-8860

JILL C THORPE PA-C

Physician Assistant

4100 LAKE DR SE, SUITE 205
GRAND RAPIDS, MI 49546

Kent County (616) 774-2414

PATRICIA BEGGS AT, ATC

Specialist/Technologist (Athletic Trainer)

4100 LAKE DR SE, SUITE 300
GRAND RAPIDS, MI 49546

Kent County (616) 267-8565

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 Jonathan Gibson's NPI number?

The NPI number for Jonathan Gibson is 1245686161. It was assigned to this individual provider in the NPPES registry on May 10, 2016.

Where is Jonathan Gibson located?

Jonathan Gibson practices at 4100 Lake Dr SE, Grand Rapids, MI 49546. The listed phone number is (616) 267-7414.

What is Jonathan Gibson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jonathan Gibson enrolled in Medicare?

Yes. Jonathan 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.

What insurance does Jonathan Gibson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and McLaren Health Plan Community and 2 other insurers list Jonathan 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.

Is Jonathan Gibson affiliated with any hospitals?

According to CMS data, Jonathan Gibson is affiliated with Lakeland Hospital, St Joseph, Spectrum Health, Holland Community Hospital and Bronson South Haven Hospital.

When was this NPI record last updated?

The NPPES record for Jonathan Gibson was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.