GIBBS WOUND CARE LLC
NPI 1902279110
Nurse Practitioner - Critical Care Medicine in Poplar Bluff, MO
About Gibbs Wound Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GIBBS WOUND CARE LLC (NPI 1902279110) is a healthcare organization registered as a critical care medicine in Poplar Bluff, Missouri and active in the NPI registry since November 2015. The organization lists Devona D Gibbs, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gibbs Wound Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Gibbs Wound Care LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Gibbs Wound Care LLC's NPI number?
The NPI number for Gibbs Wound Care LLC is 1902279110. It was assigned to this organization in the NPPES registry on November 10, 2015.
Where is Gibbs Wound Care LLC located?
Gibbs Wound Care LLC is located at 2210 Barron Rd Room 205, Poplar Bluff, MO 63901. The listed phone number is (573) 686-4133.
What is Gibbs Wound Care LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.
Is Gibbs Wound Care LLC enrolled in Medicare?
Yes. Gibbs Wound Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gibbs Wound Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Clinical Nurse Specialist (CNS)) reassigns their Medicare billing to Gibbs Wound Care LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Gibbs Wound Care LLC was last updated on November 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Gibbs Wound Care Llc · NPI 1902279110
Critical Care Medicine organization in Poplar Bluff, Missouri. Organization record, active in the CMS NPPES registry since November 10, 2015.
## Identity
- **NPI:** 1902279110 (Entity type: Organization)
- **Enumerated:** November 10, 2015
- **Primary specialty:** Nurse Practitioner - Critical Care Medicine · taxonomy 363LC0200X
- **Organization subpart:** No
- **Authorized official:** Devona Gibbs, NURSE PRACTITIONER
## Practice location
- **Address:** 2210 BARRON RD, ROOM 205, Poplar Bluff, MO 63901-1908
- **Phone:** (573) 686-4133 · **Fax:** (573) 778-1099
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Certified Clinical Nurse Specialist (CNS)) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 10, 2015
- **Other identifiers:** Medicare UPIN S06965 (MO); Other 064033 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1902279110) · Data from the CMS NPPES public registry.