ELAYNA BROOKE GIBSON PA-C
NPI 1407535685
Physician Assistant in Louisville, KY

Q: What is Elayna Gibson's NPI number?

The NPI number for Elayna Gibson is 1407535685. It was assigned to this individual provider in the NPPES registry on July 14, 2023.

Q: What is Elayna Gibson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Elayna Gibson was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 14, 2023PECOS Enrolled

411 E CHESTNUT ST # 5A, LOUISVILLE, KY 40202(502) 588-7450(502) 588-7728 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 1, 2024, Jul 14, 2023 (2 updates tracked since 2023).

On this page

About Elayna Brooke Gibson Pa-c NPPES

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

ELAYNA BROOKE GIBSON PA-C (NPI 1407535685) is an individual physician assistant in Louisville, Kentucky, licensed in Kentucky (TC154) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in New Albany.

NPPES Registry Identity

NPI1407535685

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameELAYNA BROOKE GIBSONCredential: PA-C

Location Address411 E CHESTNUT ST # 5ALouisville, KY 40202-1713

Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 559-9337 · Fax (502) 272-5339

Phone(502) 588-7450

Fax(502) 588-7728

Sole ProprietorNo

Enumeration DateJuly 14, 2023

Last NPPES UpdateAugust 1, 20242 updates tracked since enumeration

NPPES CertifiedAugust 1, 2024

✔ NPI 1407535685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in KY · TC154✔ Licensed in IN · 10004124A

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

411 E CHESTNUT ST # 5A, Louisville, KY 40202

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Secondary Practice Location 1

Location 13321 Ballard LnNew Albany, IN 47150-7267 · Phone (812) 944-4575

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elayna Brooke Gibson Pa-c 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 40202 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. MARY T KILLIAN MD

Pediatrics (Pediatric Cardiology)