MIKELL BRYNN GIBBONS
NPI 1285563841
Physician Assistant - Medical in Idaho Falls, ID

Active since May 18, 2026
1550 ELK CREEK DR, IDAHO FALLS, ID 83404(208) 529-5942(208) 529-5951 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 1, 2026, May 18, 2026 (2 updates tracked since 2026).

About Mikell Brynn Gibbons NPPES

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

MIKELL BRYNN GIBBONS (NPI 1285563841) is an individual medical provider in Idaho Falls, Idaho, licensed in Idaho (7181719) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1285563841
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMIKELL BRYNN GIBBONS
Location Address1550 ELK CREEK DRIdaho Falls, ID 83404-8322
Mailing Address1550 Elk Creek DrIdaho Falls, ID 83404-8322 · (208) 529-5942 · Fax (208) 529-5951
Fax(208) 529-5951
Sole ProprietorNo
Enumeration DateMay 18, 2026
Last NPPES UpdateJune 1, 20262 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
NPI 1285563841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in ID · 7181719
1550 ELK CREEK DR, Idaho Falls, ID 83404

Other Names 1

Other Name (5)Mikell Brynn Weaver

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Women's Health)
1550 ELK CREEK DR
IDAHO FALLS, ID 83404
Physician Assistant
1550 ELK CREEK DR
IDAHO FALLS, ID 83404
Physician Assistant
1550 ELK CREEK DR
IDAHO FALLS, ID 83404
Obstetrics & Gynecology
1550 ELK CREEK DR
IDAHO FALLS, ID 83404
Nurse Practitioner (Women's Health)
1550 ELK CREEK DR
IDAHO FALLS, ID 83404
Midwife
1550 ELK CREEK DR
IDAHO FALLS, ID 83404
Advanced Practice Midwife
1550 ELK CREEK DR
IDAHO FALLS, ID 83404
Physician Assistant
1550 ELK CREEK DR
IDAHO FALLS, ID 83404

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 Mikell Gibbons's NPI number?

The NPI number for Mikell Gibbons is 1285563841. It was assigned to this individual provider in the NPPES registry on May 18, 2026. The provider is also known as Mikell Brynn Weaver.

Where is Mikell Gibbons located?

Mikell Gibbons practices at 1550 Elk Creek Dr, Idaho Falls, ID 83404. The listed phone number is (208) 529-5942.

What is Mikell Gibbons's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Mikell Gibbons was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.