MARY ALYSSA GIBSON DO
NPI 1710674536
Student in an Organized Health Care Education/Training Program in Hartford, CT
About Mary Alyssa Gibson Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY ALYSSA GIBSON DO (NPI 1710674536) is an individual student in an organized health care education/training program in Hartford, Connecticut and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary Alyssa Gibson Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Mary Gibson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, MA 01199
- Reassigned Medicare billing, Massachusetts enrollment
- 1,537 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
HARTFORD, CT 06105
HARTFORD, CT 06105
HARTFORD, CT 06105
HARTFORD, CT 06105
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 Mary Gibson's NPI number?
The NPI number for Mary Gibson is 1710674536. It was assigned to this individual provider in the NPPES registry on April 21, 2023.
Where is Mary Gibson located?
Mary Gibson practices at 99 Woodland St, Hartford, CT 06105. The listed phone number is (860) 714-4212.
What is Mary Gibson's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Mary Gibson enrolled in Medicare?
Yes. Mary Gibson 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.
Which organization bills Medicare for Mary Gibson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Gibson reassigns Medicare benefits to Baystate Medical Practices, Inc (Springfield, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Gibson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Gibson accept?
Health plans from Taro Health list Mary Gibson 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.
When was this NPI record last updated?
The NPPES record for Mary Gibson was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Mary Alyssa Gibson, DO · NPI 1710674536
Student in an Organized Health Care Education/Training Program provider in Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since April 21, 2023.
## Identity
- **NPI:** 1710674536 (Entity type: Individual)
- **Enumerated:** April 21, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 99 WOODLAND ST, Hartford, CT 06105-1207
- **Phone:** (860) 714-4212
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Baystate Medical Practices, Inc (NPI 1548205909, Springfield, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** June 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1710674536) · Data from the CMS NPPES public registry.