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MS. CANDICE MICHELLE GIBSON PMHNP-BC
NPI 1538754270
Nurse Practitioner - Psychiatric/Mental Health in Owenton, KY

Active since March 04, 2021PECOS EnrolledAccepts Medicare Assignment
326 ROLAND AVE, OWENTON, KY 40359(859) 578-3200(859) 534-2627 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 21, 2026, May 7, 2025, Mar 4, 2021 (3 updates tracked since 2021).

About Ms. Candice Michelle Gibson Pmhnp-bc NPPES

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

MS. CANDICE MICHELLE GIBSON PMHNP-BC (NPI 1538754270) is an individual psychiatric/mental health provider in Owenton, Kentucky, licensed in Kentucky (3015824) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Florence, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1538754270
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. CANDICE MICHELLE GIBSONCredential: PMHNP-BC
Location Address326 ROLAND AVEOwenton, KY 40359
Mailing Address282 Sparta Sanders RdSanders, KY 41083-9603 · (502) 545-0192
Phone(859) 578-3200
Fax(859) 534-2627
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 4, 2021
Last NPPES UpdateJanuary 21, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
✔ NPI 1538754270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in KY · 3015824
326 ROLAND AVE, Owenton, KY 40359
Open in Google Maps ↗

Accepted Insurance

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

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

Ms. Candice Michelle Gibson Pmhnp-bc 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 ID2062828445
PECOS Enrollment IDI20210309003304
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

Carroll County Memorial Hospital

Critical Access Hospitals · Carrollton, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181310
Location309 Eleventh StreetCarrollton, KY 41008 · Carroll County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40359 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
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES

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

DANNY MORGAN
Case Manager/Care Coordinator
326 ROLAND AVE
OWENTON, KY 40359
Owen County (859) 331-3292

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 Candice Gibson's NPI number?

The NPI number for Candice Gibson is 1538754270. It was assigned to this individual provider in the NPPES registry on March 4, 2021.

Where is Candice Gibson located?

Candice Gibson practices at 326 Roland Ave, Owenton, KY 40359. The listed phone number is (859) 578-3200.

What is Candice Gibson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Candice Gibson enrolled in Medicare?

Yes. Candice 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.

What insurance does Candice Gibson accept?

Health plans from Molina Healthcare list Candice Gibson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Candice Gibson affiliated with any hospitals?

According to CMS data, Candice Gibson is affiliated with St Elizabeth Florence and Carroll County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Candice Gibson was last updated on January 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.