COURTNEY SHAE GIBSON (NP) – Family Nurse Practitioner, NPI 1689236077
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for COURTNEY SHAE GIBSON (NP)
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 753911230
Phone: (972) 997-8000
Fax: (972) 234-2987
Type: Mailing
Round Rock Avenue, The Oaklands, Round Rock, Williamson County, Texas, 78681, United States
ROUND ROCK, TX 786814019
Phone: (512) 341-8724
Fax: (512) 687-0295
Type: Location
2410 Round Rock Ave Ste 150
Round Rock, TX 786814019
Phone: (512) 341-8724
Fax: (512) 687-0295
Type: Location
1 Medical Center Dr
Lebanon, NH 037560001
Phone: (603) 650-5000
Type: Location
364 SE 8TH AVE STE 108A
HILLSBORO, OR 971234253
Phone: (503) 640-3687
Fax: (503) 640-3688
Type: Location
1400 SW 5TH AVE STE 500
PORTLAND, OR 972015537
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $726.
Total Amount is formed as General ($726) + Research ($0) + Ownership ($0) = $726.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Janssen Biotech, Inc. ($278).
Total Amount
$726
General + Research + Ownership
Payments
19
Total payment records
General Amount
$726
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $278 |
| SOBI, INC | $156 |
| Karyopharm Therapeutics Inc. | $67 |
| Lilly USA, LLC | $35 |
| AstraZeneca Pharmaceuticals LP | $34 |
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: 2024-12-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241206003233 | I | Nurse Practitioner | OR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 80053 | Blood test, comprehensive group of blood chemicals | 384 | 162 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 359 | 157 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 328 | 188 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 286 | 134 | $0 |
| 83615 | Lactate dehydrogenase (enzyme) level | 212 | 92 | $0 |
Insurance plans in this area (ZIP 75391)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Surgical Oncology | TX | |
| Medical Oncology, Internal Medicine | TX | |
| Certified Clinical Nurse Specialist (Cns) | TX | |
| Medical Oncology, Internal Medicine | TX | |
| Medical Oncology, Internal Medicine | TX | |
| Hematology/Oncology, Internal Medicine, Medical Oncology | TX | |
| Radiation Oncology | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| - | TX |
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