SUSANNA A GIBSON FNP
NPI 1952057655
Nurse Practitioner - Family in Eureka, CA

Q: What is Susanna Gibson's NPI number?

The NPI number for Susanna Gibson is 1952057655. It was assigned to this individual provider in the NPPES registry on February 22, 2022.

Q: What is Susanna Gibson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susanna Gibson was last updated on April 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 February 22, 2022PECOS Enrolled

3225 TIMBER FALL CT STE B, EUREKA, CA 95503(707) 442-5700 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 4, 2022, Feb 22, 2022 (2 updates tracked since 2022).

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About Susanna A Gibson Fnp NPPES

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

SUSANNA A GIBSON FNP (NPI 1952057655) is an individual family provider in Eureka, California, licensed in California (95020268) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952057655

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSUSANNA A GIBSONCredential: FNP

Location Address3225 TIMBER FALL CT STE BEureka, CA 95503-4892

Mailing Address2185 Pacheco StConcord, CA 94520-2309 · (925) 676-0505

Phone(707) 442-5700

Sole ProprietorNo

Enumeration DateFebruary 22, 2022

Last NPPES UpdateApril 4, 20222 updates tracked since enumeration

NPPES CertifiedApril 4, 2022

✔ NPI 1952057655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95020268

Also ListedRegistered NurseTaxonomy 163W00000X · License 798142 (CA)

3225 TIMBER FALL CT STE B, Eureka, CA 95503

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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)

Susanna A Gibson Fnp 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 95503 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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 5

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

JENNA LARSON

Registered Nurse