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MRS. LORI S GIBBONS ARNP-C
NPI 1689804023
Nurse Practitioner - Adult Health in Sebastian, FL

Active since July 20, 2009PECOS EnrolledAccepts Medicare Assignment
13100 US HIGHWAY 1, SEBASTIAN, FL 32958(772) 581-8900(772) 581-4477 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 17, 2023, Jan 19, 2023, Jan 11, 2023 and 1 more (4 updates tracked since 2022).

About Mrs. Lori S Gibbons Arnp-c NPPES

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

MRS. LORI S GIBBONS ARNP-C (NPI 1689804023) is an individual adult health provider in Sebastian, Florida, licensed in Florida (ARNP3053802) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Indian River Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1689804023
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. LORI S GIBBONSCredential: ARNP-C
Location Address13100 US HIGHWAY 1Sebastian, FL 32958-3735
Mailing Address13100 Us Highway 1Sebastian, FL 32958-3735 · (772) 581-8900 · Fax (772) 276-6689
Phone(772) 581-8900
Fax(772) 581-4477
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 20, 2009
Last NPPES UpdateOctober 17, 20234 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
✔ NPI 1689804023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · ARNP3053802
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License APRN3053802 (FL)
13100 US HIGHWAY 1, Sebastian, FL 32958
Open in Google Maps ↗

Other Identifiers 1

Medicaid3577400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.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. Lori S Gibbons Arnp-c 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 ID9335294842
PECOS Enrollment IDI20090908000064
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
630 services416 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
277 services277 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
155 services124 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
41 services41 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
27 services11 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
17 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Cleveland Clinic Indian River Hospital

Acute Care Hospitals · Vero Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100105
Location1000 36th StVero Beach, FL 32960 · Indian River County
Emergency services Birthing friendly

Sebastian River Medical Center

Acute Care Hospitals · Sebastian, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100217
Location13695 Us Hwy 1Sebastian, FL 32958 · Indian River County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32958 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers31 claims72 services$5.73 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers16 claims17 services$0.88 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims1,440 services$1.75 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
1 supplier12 claims48 services$1.30 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers21 claims21 services$38.97 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers24 claims24 services$57.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

MRS. DEBRA ANN KULCHYCKI ARNP-C
Nurse Practitioner (Adult Health)
13100 US HIGHWAY 1
SEBASTIAN, FL 32958
Indian River County (772) 581-8900
ADVANCED VASCULAR SOLUTIONS, LLC
General Practice
13100 US HIGHWAY 1
SEBASTIAN, FL 32958
Indian River County (772) 581-8900
SARAH V SAMA AGACNP-BC
Nurse Practitioner
13100 US HIGHWAY 1
SEBASTIAN, FL 32958
Indian River County (772) 581-8900

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 Lori Gibbons's NPI number?

The NPI number for Lori Gibbons is 1689804023. It was assigned to this individual provider in the NPPES registry on July 20, 2009.

Where is Lori Gibbons located?

Lori Gibbons practices at 13100 Us Highway 1, Sebastian, FL 32958. The listed phone number is (772) 581-8900.

What is Lori Gibbons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Lori Gibbons enrolled in Medicare?

Yes. Lori 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 Lori Gibbons accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Lori 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 Lori Gibbons affiliated with any hospitals?

According to CMS data, Lori Gibbons is affiliated with Cleveland Clinic Indian River Hospital and Sebastian River Medical Center.

When was this NPI record last updated?

The NPPES record for Lori Gibbons was last updated on October 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.