JESSICA L GIBBONS DO
NPI 1720774391
Family Medicine in Ontario, OR

Q: What is Jessica Gibbons's NPI number?

The NPI number for Jessica Gibbons is 1720774391. It was assigned to this individual provider in the NPPES registry on April 17, 2023. The provider is also known as Jessica L Roland.

Q: What is Jessica Gibbons's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Gibbons was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 17, 2023PECOS Enrolled

2327 SW 4TH AVE, ONTARIO, OR 97914(541) 889-2340(541) 889-2593 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Jessica L Gibbons Do NPPES

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

JESSICA L GIBBONS DO (NPI 1720774391) is an individual family medicine provider in Ontario, Oregon, licensed in Idaho (1671830) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with St Luke's Nampa Medical Center, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1720774391

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJESSICA L GIBBONSCredential: DO

Location Address2327 SW 4TH AVEOntario, OR 97914-1851

Mailing Address1441 Ne 10th AvePayette, ID 83661-5420 · (208) 642-9376 · Fax (208) 642-9279

Phone(541) 889-2340

Fax(541) 889-2593

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateApril 17, 2023

Last NPPES UpdateAugust 19, 2026

NPPES CertifiedAugust 19, 2026

✔ NPI 1720774391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in ID · 1671830✔ Licensed in OR · DO229715

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2327 SW 4TH AVE, Ontario, OR 97914

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Other Names 1

Former Name (1)Jessica L Roland

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica L Gibbons Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507225679

PECOS Enrollment IDI20260728004536

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 Jessica Gibbons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Valley Family Health Care Inc

4.2 mi

Federally Qualified Health Center (FQHC)

1441 NE 10TH AVE
Payette, ID 83661

Reassigned Medicare billing, Idaho enrollment
42 clinicians in this Medicare group

NPI 1407886484 (208) 642-9376

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

Hospital Affiliations CMS Care Compare

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

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130071

Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97914 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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 20

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

JARED ROSS VAN ORMAN MD

Internal Medicine