MRS. JENNIFER NICOLE GIBSON (APRN) – Family Nurse Practitioner, NPI 1174398796

MRS. JENNIFER NICOLE GIBSON (APRN) is a healthcare provider. based in Forked river, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 26NJ14898400 (NJ). The NPI Number for MRS. JENNIFER NICOLE GIBSON (APRN) is 1174398796

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JENNIFER NICOLE GIBSON (APRN)
NPI
1174398796
Phone
(732) 546-8715
Address
1203 BULLARD AVE
Enumeration Date
24 November 2023
Last Update Date
24 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7323494422
Graduation Year
2022 (4 years ago)
PAC ID
6507202322
Group Practice PAC ID
5991027583
Professional Enrollment ID
I20240314001892
Address ID
NJ087556342TO477XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for MRS. JENNIFER NICOLE GIBSON (APRN)

  • 1203 BULLARD AVE

    FORKED RIVER, NJ 087314430

    Phone: (732) 546-8715

    Type: Mailing

  • 477 LAKEHURST RD

    TOMS RIVER, NJ 087556342

    Phone: (732) 349-4422

    Type: Location

  • 99 Highway 37

    Toms River, NJ 087556423

    Phone: (732) 557-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $512.

Total Amount is formed as General ($512) + Research ($0) + Ownership ($0) = $512.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Janssen Biotech, Inc. ($125).

Total Amount

$512

General + Research + Ownership

Payments

8

Total payment records

General Amount

$512

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

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: 2024-03-14

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
I20240314001892INurse PractitionerNJTBD

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 08731)

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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: 5991027583View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineNJ
G A S T R O E N T E R O L O G YNV
G A S T R O E N T E R O L O G YNY
Gastroenterology, Internal MedicineNJ
A N E S T H E S I O L O G YIA
A N E S T H E S I O L O G YNJ
-NJ
Gastroenterology, Internal MedicineNJ
Gastroenterology, Internal MedicineNJ
Gastroenterology, Internal MedicineNJ

Reviews

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Frequently asked questions

Does MRS. JENNIFER NICOLE GIBSON (APRN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. JENNIFER NICOLE GIBSON (APRN) uses 1174398796.
Can I rely on MRS. JENNIFER NICOLE GIBSON (APRN) being an active provider?
As of the registry snapshot, MRS. JENNIFER NICOLE GIBSON (APRN) is marked active.
What is MRS. JENNIFER NICOLE GIBSON (APRN)'s specialty?
The listing groups MRS. JENNIFER NICOLE GIBSON (APRN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MRS. JENNIFER NICOLE GIBSON (APRN) based?
MRS. JENNIFER NICOLE GIBSON (APRN) is tied to Forked River, New Jersey in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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