WANDA MAREA GIBSON-SCIPIO (FNP-BC) – Family Nurse Practitioner, NPI 1689877649

WANDA MAREA GIBSON-SCIPIO (FNP-BC) is a healthcare provider. based in Detroit, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 4704123322 (MI). The NPI Number for WANDA MAREA GIBSON-SCIPIO (FNP-BC) is 1689877649

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
WANDA MAREA GIBSON-SCIPIO (FNP-BC)
NPI
1689877649
Phone
(313) 255-3333
Address
20548 FENKELL ST
Enumeration Date
7 June 2007
Last Update Date
1 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3134865501
Graduation Year
2006 (20 years ago)
PAC ID
3971690355
Group Practice PAC ID
5395746143
Professional Enrollment ID
I20071101000222
Address ID
MI482062081DE1550XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for WANDA MAREA GIBSON-SCIPIO (FNP-BC)

  • Fenkell Street, Detroit, Wayne County, Michigan, 48223, United States

    DETROIT, MI 482231613

    Phone: (313) 255-3333

    Fax: (313) 255-8679

    Type: Location

  • 6246, Lindsay Court, West Bloomfield Township, Oakland County, Michigan, 48324, United States

    WEST BLOOMFIELD, MI 483242154

    Phone: (248) 894-6817

    Type: Mailing

  • 5285 ANTHONY WAYNE DR

    DETROIT, MI 482023947

    Phone: (313) 577-5041

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $304.

Total Amount is formed as General ($304) + Research ($0) + Ownership ($0) = $304.

Last reported payment date: 2024-07-10 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($125).

Total Amount

$304

General + Research + Ownership

Payments

3

Total payment records

General Amount

$304

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-10

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: 2007-11-01

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
I20071101000222INurse PractitionerMITBD

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 48223)

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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: 5395746143View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What federal number belongs to WANDA MAREA GIBSON-SCIPIO (FNP-BC)?
The federal identifier for WANDA MAREA GIBSON-SCIPIO (FNP-BC) is NPI 1689877649.
Is WANDA MAREA GIBSON-SCIPIO (FNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does WANDA MAREA GIBSON-SCIPIO (FNP-BC) work in?
You can think of WANDA MAREA GIBSON-SCIPIO (FNP-BC) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for WANDA MAREA GIBSON-SCIPIO (FNP-BC)?
The page summarizes Detroit, Michigan for WANDA MAREA GIBSON-SCIPIO (FNP-BC); expand the address list for detail.
How can I contact WANDA MAREA GIBSON-SCIPIO (FNP-BC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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