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NICOLE ANN GIBBONS FNP
NPI 1376263087
Nurse Practitioner - Family in Belleville, IL

Active since September 01, 2022PECOS Enrolled
2908 WYE OAK DR, BELLEVILLE, IL 62221(618) 340-2280 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Nicole Ann Gibbons Fnp NPPES

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

NICOLE ANN GIBBONS FNP (NPI 1376263087) is an individual family provider in Belleville, Illinois, licensed in Missouri (2022031232) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376263087
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE ANN GIBBONSCredential: FNP
Location Address2908 WYE OAK DRBelleville, IL 62221-7039
Mailing Address2908 Wye Oak DrBelleville, IL 62221-7039 · (618) 340-2280
Phone(618) 340-2280
Sole ProprietorNo
Enumeration DateSeptember 1, 2022
NPPES CertifiedSeptember 1, 2022
✔ NPI 1376263087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2022031232
2908 WYE OAK DR, Belleville, IL 62221
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Ann Gibbons Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62221 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

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 Nicole Gibbons's NPI number?

The NPI number for Nicole Gibbons is 1376263087. It was assigned to this individual provider in the NPPES registry on September 1, 2022.

Where is Nicole Gibbons located?

Nicole Gibbons practices at 2908 Wye Oak Dr, Belleville, IL 62221. The listed phone number is (618) 340-2280.

What is Nicole Gibbons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicole Gibbons enrolled in Medicare?

Yes. Nicole Gibbons is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Gibbons was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.