MRS. MACKENZIE GIBBONS FNP
NPI 1629629761
Nurse Practitioner - Family in Somerville, TN

Active since September 20, 2019PECOS EnrolledAccepts Medicare Assignment
16532 US HIGHWAY 64, SOMERVILLE, TN 38068(901) 813-8138(901) 813-8793 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 18, 2020, Jan 17, 2020, Sep 20, 2019 (3 updates tracked since 2019).

About Mrs. Mackenzie Gibbons Fnp NPPES

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

MRS. MACKENZIE GIBBONS FNP (NPI 1629629761) is an individual family provider in Somerville, Tennessee, licensed in Tennessee (26479) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Desoto, and maintains a secondary practice location in Jonesboro.

NPPES Registry Identity

NPI1629629761
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MACKENZIE GIBBONSCredential: FNP
Location Address16532 US HIGHWAY 64Somerville, TN 38068-6185
Mailing Address16532 Us Highway 64Somerville, TN 38068-6185
Fax(901) 813-8793
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 20, 2019
Last NPPES UpdateNovember 18, 20203 updates tracked since enumeration
NPPES CertifiedNovember 18, 2020
NPI 1629629761 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 · 26479
16532 US HIGHWAY 64, Somerville, TN 38068

Secondary Practice Location 1

Location 1300 Carson StJonesboro, AR 72401-3104 · Phone (870) 932-1198 · Fax (870) 910-7700

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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

Mrs. Mackenzie Gibbons 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.

PECOS PAC ID3072940873
PECOS Enrollment IDI20250409000961
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.

Baptist Memorial Hospital Desoto

Acute Care Hospitals · Southaven, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250141
Location7601 Southcrest ParkwaySouthaven, MS 38671 · De Soto County
Emergency services Birthing friendly

Methodist Healthcare - Olive Branch Hospital

Acute Care Hospitals · Olive Branch, MS
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250167
Location4250 Bethel RoadOlive Branch, MS 38654 · De Soto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38068 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.

Other Providers at the Same Location NPPES 2

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

Family Medicine
16532 US HIGHWAY 64
SOMERVILLE, TN 38068
Family Medicine
16532 US HIGHWAY 64
SOMERVILLE, TN 38068

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 Mackenzie Gibbons's NPI number?

The NPI number for Mackenzie Gibbons is 1629629761. It was assigned to this individual provider in the NPPES registry on September 20, 2019.

Where is Mackenzie Gibbons located?

Mackenzie Gibbons practices at 16532 Us Highway 64, Somerville, TN 38068. The listed phone number is (901) 813-8138.

What is Mackenzie Gibbons's specialty?

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

Is Mackenzie Gibbons enrolled in Medicare?

Yes. Mackenzie Gibbons 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 Mackenzie Gibbons accept?

Health plans from Oscar Health Plan, Inc., Oscar Insurance Company and UnitedHealthcare list Mackenzie Gibbons 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 Mackenzie Gibbons affiliated with any hospitals?

According to CMS data, Mackenzie Gibbons is affiliated with Baptist Memorial Hospital Desoto and Methodist Healthcare - Olive Branch Hospital.

When was this NPI record last updated?

The NPPES record for Mackenzie Gibbons was last updated on November 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.