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LAKISHA GIBSON APRN
NPI 1639820194
Nurse Practitioner - Family in Quitman, MS

Active since January 15, 2022PECOS Enrolled
590 HIGHWAY 18 W, QUITMAN, MS 39355(601) 934-9629(601) 429-1314 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2024, Jan 15, 2022 (2 updates tracked since 2022).

About Lakisha Gibson Aprn NPPES

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

LAKISHA GIBSON APRN (NPI 1639820194) is an individual family provider in Quitman, Mississippi, licensed in Mississippi (907056) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1639820194
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAKISHA GIBSONCredential: APRN
Location Address590 HIGHWAY 18 WQuitman, MS 39355-8739
Mailing Address590 Highway 18 WQuitman, MS 39355-8739 · (601) 934-9629 · Fax (601) 429-1314
Phone(601) 934-9629
Fax(601) 429-1314
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 15, 2022
Last NPPES UpdateNovember 19, 20242 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1639820194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · 907056
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X · License 25D2248675 (MS)
590 HIGHWAY 18 W, Quitman, MS 39355
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7315339249
PECOS Enrollment IDI20251211000398
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 39355 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

ESSENCE NURSE LLC
Clinical Medical Laboratory
590 HIGHWAY 18 W
QUITMAN, MS 39355
Clarke County (601) 934-9629

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 Lakisha Gibson's NPI number?

The NPI number for Lakisha Gibson is 1639820194. It was assigned to this individual provider in the NPPES registry on January 15, 2022.

Where is Lakisha Gibson located?

Lakisha Gibson practices at 590 Highway 18 W, Quitman, MS 39355. The listed phone number is (601) 934-9629.

What is Lakisha Gibson's specialty?

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

Is Lakisha Gibson enrolled in Medicare?

Yes. Lakisha Gibson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lakisha Gibson was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.