CARLIE JORDAN GIBSON
NPI 1629809165
Advanced Practice Midwife in Detroit, MI

Q: What is Carlie Gibson's NPI number?

The NPI number for Carlie Gibson is 1629809165. It was assigned to this individual provider in the NPPES registry on August 7, 2024.

Q: What is Carlie Gibson's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Carlie Gibson was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 07, 2024PECOS Enrolled

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600(313) 876-1305 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 14, 2026, Jun 4, 2026, Aug 7, 2024 (3 updates tracked since 2024).

On this page

About Carlie Jordan Gibson NPPES

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

CARLIE JORDAN GIBSON (NPI 1629809165) is an individual advanced practice midwife in Detroit, Michigan, licensed in Michigan (4704374179) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ferndale, and is a graduate of University Of Michigan Medical School (2026).

NPPES Registry Identity

NPI1629809165

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameCARLIE JORDAN GIBSON

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (800) 999-5829 · Fax (313) 876-1305

Phone(313) 916-2600

Fax(313) 876-1305

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2026

Enumeration DateAugust 7, 2024

Last NPPES UpdateJuly 14, 20263 updates tracked since enumeration

NPPES CertifiedJuly 14, 2026

✔ NPI 1629809165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in MI · 4704374179

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

Also ListedMidwifeTaxonomy 176B00000X · License 4704374179 (MI)

2799 W GRAND BLVD, Detroit, MI 48202

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Secondary Practice Location 1

Location 1915 W Hazelhurst StFerndale, MI 48220-1679 · Phone (586) 382-2629

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlie Jordan Gibson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931664109

PECOS Enrollment IDI20260717002594

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.

Medicare Billing Reassignment

Medicare enrollment records show Carlie Gibson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Henry Ford Health System

Same address

Pediatrics

2799 W GRAND BLVD
Detroit, MI 48202

Reassigned Medicare billing, Michigan enrollment
1,886 clinicians in this Medicare group

NPI 1003990318 (313) 916-2600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

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 20

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

HENRY FORD HOSPITAL

General Acute Care Hospital