BROOKE GIBSON – Certified Registered Nurse Anesthetist, NPI 1770117889

BROOKE GIBSON is a healthcare provider. based in Clearwater, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 9486144 (FL). The NPI Number for BROOKE GIBSON is 1770117889

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
BROOKE GIBSON
NPI
1770117889
Phone
(727) 439-2577
Address
3165 MASTERS DR
Enumeration Date
27 February 2020
Last Update Date
3 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8138444396
Graduation Year
2020 (6 years ago)
PAC ID
7911311980
Group Practice PAC ID
5092628156
Professional Enrollment ID
I20210203000047
Address ID
FL336063571TA1XXXXCIRX400

Contacts

Secure Messaging
brookeliston@usf.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:6State licenses:2Other namesUpdated within 12 months

5,360 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for BROOKE GIBSON

  • 3165 MASTERS DR

    CLEARWATER, FL 337611818

    Phone: (727) 439-2577

    Type: Mailing

  • 1 TAMPA GENERAL CIR FL 33606

    TAMPA, FL 336063571

    Phone: (813) 844-7000

    Type: Location

  • 3211 TOUR TRCE

    LAND O LAKES, FL 346384432

    Phone: (727) 439-2577

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $254.

Total Amount is formed as General ($254) + Research ($0) + Ownership ($0) = $254.

Last reported payment date: 2023-11-10 • Largest payer in this snapshot: Fisher & Paykel Healthcare Inc ($133).

Total Amount

$254

General + Research + Ownership

Payments

2

Total payment records

General Amount

$254

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-10

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-02-03

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
I20210203000047ICertified Registered Nurse Anesthetist (Crna)FLTBD

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 33761)

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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: 5092628156View full group profile

Reviews

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Frequently asked questions

What number should I use to identify BROOKE GIBSON for billing?
Administrative and clinical systems typically use NPI 1770117889 for BROOKE GIBSON.
Should I treat BROOKE GIBSON as an active provider?
Patients and plans typically see BROOKE GIBSON as active in the national extract.
How should patients interpret BROOKE GIBSON's specialty?
The extract shows Certified Registered Nurse Anesthetist for BROOKE GIBSON. Clinical services aligned with this taxonomy classification.
What geographic area is tied to BROOKE GIBSON?
BROOKE GIBSON is associated with Clearwater, Florida in the same public data insurers reference.
Why is information missing for BROOKE GIBSON?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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