DWALA GIBSON
NPI 1346628088
Nurse Practitioner - Family in Idabel, OK
About Dwala Gibson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DWALA GIBSON (NPI 1346628088) is an individual family provider in Idabel, Oklahoma, licensed in Oklahoma (R0083725) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Mesa View Regional Hospital, and is a graduate of Other (2015).
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
Dwala Gibson 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 Reassignments
5Medicare enrollment records show Dwala Gibson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Idabel, OK 74745
- Reassigned Medicare billing, Texas enrollment
- 581 clinicians in this Medicare group
Supai, AZ 86435
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Dhhs Ihs Phoenix Area
- 210 clinicians in this Medicare group
Parker, AZ 85344
- Reassigned Medicare billing, Texas enrollment
- 208 clinicians in this Medicare group
Moapa, NV 89025
- Reassigned Medicare billing, Texas enrollment
- 143 clinicians in this Medicare group
Ledyard, CT 06339
- Reassigned Medicare billing, Texas enrollment
- 5 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mesa View Regional Hospital
Critical Access Hospitals · Mesquite, NVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74745 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Dwala Gibson's NPI number?
The NPI number for Dwala Gibson is 1346628088. It was assigned to this individual provider in the NPPES registry on May 14, 2015.
Where is Dwala Gibson located?
Dwala Gibson practices at 902 E Lincoln Rd, Idabel, OK 74745. The listed phone number is (580) 286-2600.
What is Dwala Gibson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Dwala Gibson enrolled in Medicare?
Yes. Dwala 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.
Which organizations bill Medicare for Dwala Gibson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dwala Gibson reassigns Medicare benefits to 5 organizations: Choctaw Nation Of Oklahoma (Idabel, OK), Dhhs Ihs Phoenix (Supai, AZ), Dhhs Ihs Phoenix Area (Parker, AZ), Irene Benn Medical Center (Moapa, NV) and Mashantucket Pequot Tribal Council (Ledyard, CT). 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 Dwala Gibson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Dwala Gibson affiliated with any hospitals?
According to CMS data, Dwala Gibson is affiliated with Mesa View Regional Hospital.
When was this NPI record last updated?
The NPPES record for Dwala Gibson was last updated on September 7, 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.
# Dwala Gibson · NPI 1346628088
Family physician in Idabel, Oklahoma. Individual provider, active in the CMS NPPES registry since May 14, 2015.
## Identity
- **NPI:** 1346628088 (Entity type: Individual)
- **Enumerated:** May 14, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R0083725 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 902 E LINCOLN RD, Idabel, OK 74745-7337
- **Phone:** (580) 286-2600 · **Fax:** (580) 286-1087
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Choctaw Nation Of Oklahoma (NPI 1407822497, Idabel, OK); Dhhs Ihs Phoenix (NPI 1184901829, Supai, AZ); Dhhs Ihs Phoenix Area (NPI 1851678585, Parker, AZ); Irene Benn Medical Center (NPI 1841535317, Moapa, NV); Mashantucket Pequot Tribal Council (NPI 1508140922, Ledyard, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** September 7, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1346628088) · Data from the CMS NPPES public registry.