JESSICA RAE GIBSON
NPI 1457227779
Nurse Practitioner - Family in La Vergne, TN

Q: What is Jessica Gibson's NPI number?

The NPI number for Jessica Gibson is 1457227779. It was assigned to this individual provider in the NPPES registry on October 14, 2025.

Q: What is Jessica Gibson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Gibson was last updated on November 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 14, 2025PECOS EnrolledAccepts Medicare Assignment

5148A MURFREESBORO RD, LA VERGNE, TN 37086(615) 213-2273(615) 213-2271 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jessica Rae Gibson NPPES

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

JESSICA RAE GIBSON (NPI 1457227779) is an individual family provider in La Vergne, Tennessee, licensed in Tennessee (40060) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1457227779

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJESSICA RAE GIBSON

Location Address5148A MURFREESBORO RDLa Vergne, TN 37086-1009

Mailing Address5148a Murfreesboro RdLa Vergne, TN 37086-1009 · (615) 213-2273 · Fax (615) 213-2271

Phone(615) 213-2273

Fax(615) 213-2271

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 14, 2025

Last NPPES UpdateNovember 6, 2025

NPPES CertifiedNovember 6, 2025

✔ NPI 1457227779 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 TN · 40060

5148A MURFREESBORO RD, La Vergne, TN 37086

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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 and accepts Medicare assignment

Jessica Rae 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.

PECOS PAC ID4284026477

PECOS Enrollment IDI20251120002450

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 37086 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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Other Providers at the Same Location NPPES 7

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

KEIKO J SHIGENO APRN, BC

Nurse Practitioner (Family)