JENNIFER B. GIBSON (MS, PA-C) – Physician Assistant, NPI 1740877893

JENNIFER B. GIBSON (MS, PA-C) is a healthcare provider. based in Lumberton, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MS, PA-C. The NPI Number for JENNIFER B. GIBSON (MS, PA-C) is 1740877893

Main info

Female
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER B. GIBSON (MS, PA-C)
NPI
1740877893
Phone
(409) 291-1447
Address
105 DOLTON DR
Enumeration Date
23 December 2020
Last Update Date
4 March 2025

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
4092103336
Graduation Year
1995 (31 years ago)
PAC ID
4486067709
Group Practice PAC ID
1254314511
Professional Enrollment ID
I20210106000490
Address ID
TX776515603PO2927XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for JENNIFER B. GIBSON (MS, PA-C)

  • 105 DOLTON DR

    LUMBERTON, TX 776578160

    Phone: (409) 291-1447

    Type: Mailing

  • 2645 NALL ST

    PORT NECHES, TX 776514707

    Phone: (409) 210-3336

    Fax: (409) 527-3969

    Type: Location

  • 2927 Nall St

    Port Neches, TX 776515603

    Phone: (409) 210-3336

    Fax: (409) 527-3969

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 60 Open Payments records for all available years, with a total value of $1,543.

Total Amount is formed as General ($1,543) + Research ($0) + Ownership ($0) = $1,543.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($379).

Total Amount

$1,543

General + Research + Ownership

Payments

60

Total payment records

General Amount

$1,543

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2021-01-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210106000490IPhysician AssistantTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes305178$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg6916$0
G0442Annual alcohol misuse screening, 5 to 15 minutes4444$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3939$0
G0444Annual depression screening, 5 to 15 minutes3939$0
View full utilization report →

Insurance plans in this area (ZIP 77657)

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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: 1254314511View full group profile
NameSpecialtyState
Family PracticeTX
Family PracticeTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for JENNIFER B. GIBSON (MS, PA-C)?
JENNIFER B. GIBSON (MS, PA-C) — NPI 1740877893 — is the standard way to identify this listing.
Does CMS list JENNIFER B. GIBSON (MS, PA-C) as active?
Yes — JENNIFER B. GIBSON (MS, PA-C) is active in the NPI listing used on this page.
What taxonomy line describes JENNIFER B. GIBSON (MS, PA-C)?
For research purposes, treat JENNIFER B. GIBSON (MS, PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What area does JENNIFER B. GIBSON (MS, PA-C) serve?
JENNIFER B. GIBSON (MS, PA-C)'s listing highlights Lumberton, Texas; more addresses can appear in NPPES.
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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