MRS. JENNIFER MULLA GIBSON M.D.
NPI 1841619111
Pediatrics - Neonatal-Perinatal Medicine in Norfolk, VA

Q: What is Jennifer Gibson's NPI number?

The NPI number for Jennifer Gibson is 1841619111. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Q: What is Jennifer Gibson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Gibson was last updated on August 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 15, 2014PECOS Enrolled

601 CHILDRENS LN, NORFOLK, VA 23507(757) 668-7500 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2021, Jan 15, 2016 (2 updates tracked since 2016).

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About Mrs. Jennifer Mulla Gibson M.d. NPPES

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

MRS. JENNIFER MULLA GIBSON M.D. (NPI 1841619111) is an individual neonatal-perinatal medicine provider in Norfolk, Virginia, licensed in Tennessee (63714) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841619111

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameMRS. JENNIFER MULLA GIBSONCredential: M.D.

Location Address601 CHILDRENS LNNorfolk, VA 23507-1910

Mailing Address1332 Llewellyn AveNorfolk, VA 23517-2248 · (203) 257-7854

Phone(757) 668-7500

Sole ProprietorNo

Enumeration DateApril 15, 2014

Last NPPES UpdateAugust 12, 20212 updates tracked since enumeration

NPPES CertifiedAugust 12, 2021

✔ NPI 1841619111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in TN · 63714

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License 63714 (TN)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

601 CHILDRENS LN, Norfolk, VA 23507

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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)

Mrs. Jennifer Mulla Gibson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

BELINDA JAMES-PETERSEN CPNP

Nurse Practitioner (Pediatrics)