1. Home
  2. Directory
  3. New Mexico
  4. San Jon
  5. Nurse Practitioner
  6. NPI Profile

MISTI DAWN GIBSON CNP
NPI 1912854563
Nurse Practitioner - Family in San Jon, NM

Active since March 12, 2026PECOS Enrolled
1200 E ELM AVE, SAN JON, NM 88434(575) 403-7601 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Misti Dawn Gibson Cnp NPPES

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

MISTI DAWN GIBSON CNP (NPI 1912854563) is an individual family provider in San Jon, New Mexico, licensed in New Mexico (88590) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912854563
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISTI DAWN GIBSONCredential: CNP
Location Address1200 E ELM AVESan Jon, NM 88434-9724
Mailing Address1200 E Elm AveSan Jon, NM 88434-9724 · (575) 403-7601
Phone(575) 403-7601
Sole ProprietorYes
Enumeration DateMarch 12, 2026
NPPES CertifiedMarch 12, 2026
✔ NPI 1912854563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NM · 88590
1200 E ELM AVE, San Jon, NM 88434
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Misti Dawn Gibson Cnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88434 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

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 Misti Gibson's NPI number?

The NPI number for Misti Gibson is 1912854563. It was assigned to this individual provider in the NPPES registry on March 12, 2026.

Where is Misti Gibson located?

Misti Gibson practices at 1200 E Elm Ave, San Jon, NM 88434. The listed phone number is (575) 403-7601.

What is Misti Gibson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Misti Gibson enrolled in Medicare?

Yes. Misti Gibson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Misti Gibson was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.