ALYSSA R GIBBS FNP
NPI 1528316197
Nurse Practitioner - Family in Springfield, IL
About Alyssa R Gibbs Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALYSSA R GIBBS FNP (NPI 1528316197) is an individual family provider in Springfield, Illinois, licensed in Illinois (209009730) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2012).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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
Alyssa R Gibbs Fnp 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 Reassignment
Medicare enrollment records show Alyssa Gibbs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, IL 62704
- Reassigned Medicare billing, Illinois enrollment
- 150 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 2
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Medical Center
Acute Care Hospitals · Springfield, ILJacksonville Memorial Hospital
Critical Access Hospitals · Jacksonville, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62704 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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
SPRINGFIELD, IL 62704
SPRINGFIELD, IL 62704
SPRINGFIELD, IL 62704
SPRINGFIELD, IL 62704
SPRINGFIELD, IL 62704
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 Alyssa Gibbs's NPI number?
The NPI number for Alyssa Gibbs is 1528316197. It was assigned to this individual provider in the NPPES registry on August 29, 2012. The provider is also known as Alyssa R Boggio.
Where is Alyssa Gibbs located?
Alyssa Gibbs practices at 3132 Old Jacksonville Rd, Springfield, IL 62704. The listed phone number is (217) 862-0800.
What is Alyssa Gibbs's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Alyssa Gibbs enrolled in Medicare?
Yes. Alyssa Gibbs 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 organization bills Medicare for Alyssa Gibbs's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Gibbs reassigns Medicare benefits to Memorial Physician Services (Springfield, IL). The 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 Alyssa Gibbs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Alyssa Gibbs affiliated with any hospitals?
According to CMS data, Alyssa Gibbs is affiliated with Memorial Medical Center and Jacksonville Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Alyssa Gibbs was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Alyssa R Gibbs, FNP · NPI 1528316197
Family physician in Springfield, Illinois. Individual provider, active in the CMS NPPES registry since August 29, 2012.
## Identity
- **NPI:** 1528316197 (Entity type: Individual)
- **Enumerated:** August 29, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209009730 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3132 OLD JACKSONVILLE RD, Springfield, IL 62704-7400
- **Phone:** (217) 862-0800
## 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:** Memorial Physician Services (NPI 1174877930, Springfield, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2012
## Record status
- **NPPES last updated:** August 29, 2012
- **Other identifiers:** Other 2012009254 (IL)
---
Source: [NPI Profile](https://npiprofile.com/npi/1528316197) · Data from the CMS NPPES public registry.