CAROL MARIE GIBBONS (CNP) – Nurse Practitioner, NPI 1790759470

Nurse Practitioner

CAROL MARIE GIBBONS (CNP) is a healthcare provider. based in Elyria, Ohio. specializing in Nurse Practitioner. They hold the professional credentials CNP. They hold a License No. RN155094 (OH). The NPI Number for CAROL MARIE GIBBONS (CNP) is 1790759470

Main info

Female

35 Years Of Experience

Accepts Medicare Assignment

Name

CAROL MARIE GIBBONS (CNP)

NPI

1790759470

Phone

(440) 930-6060

Address

5319 HOAG DRIVE

Enumeration Date

17 February 2006

Last Update Date

8 July 2007

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2164442200

Graduation Year

1991 (35 years ago)

PAC ID

5395706113

Group Practice PAC ID

1850203555

Professional Enrollment ID

I20041025000378

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for CAROL MARIE GIBBONS (CNP)

5319 HOAG DRIVE
SUITE 240
ELYRIA, OH 44035
Phone: (440) 930-6060
Fax: (440) 934-8881
Type: Location
3220, Laura Lane, Westlake, Cuyahoga County, Ohio, 44145, United States
WESTLAKE, OH 44145
Phone: (216) 513-5985
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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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 44035)

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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: 1850203555View full group profile

Name	Specialty	State
LYDIA GLAUDE (PHD, RN)	-	NV
LAURA FERREIRA PROVENZANO (MD)	Nephrology, Internal Medicine	OH
MRS. TONYA RENEE GOINGS (ACNP-BC)	-	OH
KESHAVA MURTHY NARAYANA GOWDA (M.D)	-	MI
MS. DANA ANNE RUBIS (CNP)	Nurse Practitioner	OH
DR. RACHAEL C SULLIVAN (M.D.)	General Surgery, Anesthesiology, Critical Care (Intensivists)	OH
MRS. BRIDGET COLLEEN WU (CRNA)	Certified Registered Nurse Anesthetist (Crna)	OH
DENISE LOUISE PAGE (NP-C)	-	OH
WILLIAM G IV GIBSON (FNP-C)	-	MN
ANNE M TOMSICH (CNP)	Nurse Practitioner	OH