DR. HEATHER RENEE GIBSON DNP
NPI 1912773979
Nurse Practitioner in Rockford, IL

Active since November 30, 2023PECOS EnrolledAccepts Medicare Assignment
444 ROXBURY RD, ROCKFORD, IL 61107(815) 398-3000 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Heather Renee Gibson Dnp NPPES

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

DR. HEATHER RENEE GIBSON DNP (NPI 1912773979) is an individual nurse practitioner in Rockford, Illinois, licensed in Illinois (209028852) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Saint Anthony Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1912773979
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDR. HEATHER RENEE GIBSONCredential: DNP
Location Address444 ROXBURY RDRockford, IL 61107-5059
Mailing Address2205 S Perryville Rd # 477Rockford, IL 61108-8209 · (815) 517-3630
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 30, 2023
Last NPPES UpdateDecember 6, 2023
NPPES CertifiedDecember 6, 2023
NPI 1912773979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IL · 209028852
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 041421874 (IL)
444 ROXBURY RD, Rockford, IL 61107

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

Dr. Heather Renee Gibson Dnp 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 ID1951745900
PECOS Enrollment IDI20240216003835
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.

Hospital Affiliations CMS Care Compare

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

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61107 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 18

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

Internal Medicine (Cardiovascular Disease)
444 ROXBURY RD
ROCKFORD, IL 61107
Nurse Practitioner
444 ROXBURY RD
ROCKFORD, IL 61107
Internal Medicine (Cardiovascular Disease)
444 ROXBURY RD
ROCKFORD, IL 61107
Internal Medicine (Clinical Cardiac Electrophysiology)
444 ROXBURY RD
ROCKFORD, IL 61107
Nurse Practitioner
444 ROXBURY RD
ROCKFORD, IL 61107
Pediatrics (Pediatric Cardiology)
444 ROXBURY RD
ROCKFORD, IL 61107
Internal Medicine (Cardiovascular Disease)
444 ROXBURY RD
ROCKFORD, IL 61107
Pediatrics (Pediatric Cardiology)
444 ROXBURY RD, STE 1
ROCKFORD, IL 61107

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 Heather Gibson's NPI number?

The NPI number for Heather Gibson is 1912773979. It was assigned to this individual provider in the NPPES registry on November 30, 2023.

Where is Heather Gibson located?

Heather Gibson practices at 444 Roxbury Rd, Rockford, IL 61107. The listed phone number is (815) 398-3000.

What is Heather Gibson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Heather Gibson enrolled in Medicare?

Yes. Heather 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.

Is Heather Gibson affiliated with any hospitals?

According to CMS data, Heather Gibson is affiliated with Saint Anthony Medical Center.

When was this NPI record last updated?

The NPPES record for Heather Gibson was last updated on December 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.