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KENDRA GIBBS FNP
NPI 1548702020
Nurse Practitioner - Family in Jonesboro, AR

Active since November 15, 2016PECOS Enrolled
2105 EAST AGGIE ROAD, JONESBORO, AR 72401(870) 972-3071 Get Directions Write a Review

NPPES record last updated: January 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 11, 2026, Nov 26, 2025, Nov 15, 2016 (3 updates tracked since 2016).

About Kendra Gibbs Fnp NPPES

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

KENDRA GIBBS FNP (NPI 1548702020) is an individual family provider in Jonesboro, Arkansas, licensed in Tennessee (40271) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Columbia, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1548702020
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKENDRA GIBBSCredential: FNP
Location Address2105 EAST AGGIE ROADJonesboro, AR 72401
Mailing Address3024 Business Park CirGoodlettsville, TN 37072-3132 · (615) 239-2018
Phone(870) 972-3071
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 15, 2016
Last NPPES UpdateJanuary 11, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2026
✔ NPI 1548702020 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 · 40271
2105 EAST AGGIE ROAD, Jonesboro, AR 72401
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Secondary Practice Location 1

Location 11707 Grove StColumbia, TN 38401-3517 · Phone (931) 492-6128 · Fax (931) 492-6153

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendra Gibbs Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901383777
PECOS Enrollment IDI20260122003368
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 72401 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 Kendra Gibbs's NPI number?

The NPI number for Kendra Gibbs is 1548702020. It was assigned to this individual provider in the NPPES registry on November 15, 2016.

Where is Kendra Gibbs located?

Kendra Gibbs practices at 2105 East Aggie Road, Jonesboro, AR 72401. The listed phone number is (870) 972-3071.

What is Kendra Gibbs's specialty?

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

Is Kendra Gibbs enrolled in Medicare?

Yes. Kendra Gibbs is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kendra Gibbs was last updated on January 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.