KIMBERLY GIBSON (NP) – Family Nurse Practitioner, NPI 1275927964

KIMBERLY GIBSON (NP) is a healthcare provider. based in Pittsford, New York. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 634849 (NY). The NPI Number for KIMBERLY GIBSON (NP) is 1275927964

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY GIBSON (NP)
NPI
1275927964
Phone
(585) 645-4892
Address
1 REITZ PKWY
Enumeration Date
20 March 2015
Last Update Date
20 March 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5853811600
Graduation Year
2014 (12 years ago)
PAC ID
2365752599
Group Practice PAC ID
0042122046
Professional Enrollment ID
I20160425001798
Address ID
NY146183428RO3156XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:11State licenses:2Digital endpointsOther names

16,993 NURSE PRACTITIONER in NY

Provider Addresses for KIMBERLY GIBSON (NP)

  • 1 REITZ PKWY

    PITTSFORD, NY 145342205

    Phone: (585) 645-4892

    Type: Mailing

  • 601 ELMWOOD AVE

    ROCHESTER, NY 146420001

    Phone: (585) 275-2975

    Fax: (585) 273-1250

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-04-25

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
I20160425001798INurse PractitionerNYTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes8530$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes7433$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes4942$0
99316Nursing facility discharge management, more than 30 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 14534)

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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: 0042122046View full group profile
NameSpecialtyState
Geriatric Medicine, Internal MedicineMD
-NY
Nurse PractitionerNY
Nurse PractitionerNY
Internal MedicineNY

Reviews

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Frequently asked questions

Can I verify KIMBERLY GIBSON (NP) with an NPI only?
You can start verification with NPI 1275927964 for KIMBERLY GIBSON (NP), then check state licensing separately.
Is KIMBERLY GIBSON (NP) still practicing?
KIMBERLY GIBSON (NP) is currently listed as active in the public NPI registry.
What taxonomy line describes KIMBERLY GIBSON (NP)?
For research purposes, treat KIMBERLY GIBSON (NP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does KIMBERLY GIBSON (NP) list a practice location?
Patients near Pittsford, New York may find KIMBERLY GIBSON (NP) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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