DEYANIRA G GIBSON
NPI 1962289462
Nurse Practitioner - Psychiatric/Mental Health in Riverside, CA

Active since September 11, 2023PECOS EnrolledAccepts Medicare Assignment
16254 BRIDGTON CIR, RIVERSIDE, CA 92503(951) 801-0594 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Deyanira G Gibson NPPES

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

DEYANIRA G GIBSON (NPI 1962289462) is an individual psychiatric/mental health provider in Riverside, California, licensed in California (95027062) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1962289462
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDEYANIRA G GIBSON
Location Address16254 BRIDGTON CIRRiverside, CA 92503-5978
Mailing Address16254 Bridgton CirRiverside, CA 92503-5978 · (951) 801-0594
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 11, 2023
NPPES CertifiedSeptember 11, 2023
✔ NPI 1962289462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95027062
16254 BRIDGTON CIR, Riverside, CA 92503

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Deyanira G Gibson 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 ID7517306665
PECOS Enrollment IDI20240422002867
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Deyanira Gibson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
4160 TEMESCAL CANYON RD STE 408
Corona, CA 92883
  • Reassigned Medicare billing, California enrollment
  • 194 clinicians in this Medicare group
Psychologist
15497 W SAND ST
Victorville, CA 92392
  • Reassigned Medicare billing, California enrollment
  • 124 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92503 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 2

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

Nurse Practitioner (Family)
16254 BRIDGTON CIR
RIVERSIDE, CA 92503
Behavior Technician
16254 BRIDGTON CIR
RIVERSIDE, CA 92503

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 Deyanira Gibson's NPI number?

The NPI number for Deyanira Gibson is 1962289462. It was assigned to this individual provider in the NPPES registry on September 11, 2023.

Where is Deyanira Gibson located?

Deyanira Gibson practices at 16254 Bridgton Cir, Riverside, CA 92503. The listed phone number is (951) 801-0594.

What is Deyanira Gibson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Deyanira Gibson enrolled in Medicare?

Yes. Deyanira 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.

Which organizations bill Medicare for Deyanira Gibson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deyanira Gibson reassigns Medicare benefits to 2 organizations: Inland Psychiatric Medical Group Inc (Corona, CA) and High Desert Psychological Services (Victorville, CA). Each 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 Deyanira Gibson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Deyanira Gibson was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.