SYDNI GIBBS – Family Nurse Practitioner, NPI 1518505833

SYDNI GIBBS is a healthcare provider. based in Russellville, Arkansas. specializing in NURSE PRACTITIONER. They hold a License No. R107201 (AR). The NPI Number for SYDNI GIBBS is 1518505833

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
SYDNI GIBBS
NPI
1518505833
Phone
(479) 968-1245
Address
3812 W Main St
Enumeration Date
17 December 2019
Last Update Date
8 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
4797058181
Graduation Year
2023 (3 years ago)
PAC ID
9739603432
Group Practice PAC ID
5890892830
Professional Enrollment ID
I20250403001658
Address ID
AR728304432CL25XXXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for SYDNI GIBBS

  • 3812 W Main St

    Russellville, AR 728012314

    Phone: (479) 968-1245

    Type: Location

  • 519 LATHAM DR.

    LOWELL, AR 72745

    Phone:

    Type: Mailing

  • 519 LATHAM DR

    LOWELL, AR 727458360

    Phone: (479) 750-0130

    Type: Location

  • 25 PROFESSIONAL PARK DR

    CLARKSVILLE, AR 728304432

    Phone: (479) 705-8181

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-10-14 • Largest payer in this snapshot: Novo Nordisk Inc ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$18
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250403001658INurse PractitionerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890892830View full group profile
NameSpecialtyState
Physician AssistantAR
Nurse PractitionerAR
Nurse PractitionerAR
Family PracticeAR

Reviews

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Frequently asked questions

What identifier follows SYDNI GIBBS across health systems?
The NPI 1518505833 uniquely identifies SYDNI GIBBS in U.S. healthcare data.
Is SYDNI GIBBS currently accepting referrals based on NPI status?
Registry metadata lists SYDNI GIBBS as active.
What type of care does SYDNI GIBBS provide?
SYDNI GIBBS's profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit SYDNI GIBBS in Russellville, Arkansas?
For routing, start with Russellville, Arkansas for SYDNI GIBBS, then verify phone and hours locally.
Why is information missing for SYDNI GIBBS?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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