MRS. MICHELLE BENDER GIBSON (NP) – Nurse Practitioner, NPI 1124077136

MRS. MICHELLE BENDER GIBSON (NP) is a healthcare provider. based in South boston, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 0017137534 (VA). The NPI Number for MRS. MICHELLE BENDER GIBSON (NP) is 1124077136

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MICHELLE BENDER GIBSON (NP)
NPI
1124077136
Phone
(434) 575-1212
Address
2232 WILBORN AVE, SUITE D
Enumeration Date
8 May 2006
Last Update Date
8 March 2010

Doctor Profile

Medical School Name
DUKE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
9234267998
Group Practice PAC ID
1254311558
Professional Enrollment ID
I20100805000055
Address ID
VA245921662SO2232XAVEX300
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

8,303 NURSE PRACTITIONER in VA

Provider Addresses for MRS. MICHELLE BENDER GIBSON (NP)

  • 2232 WILBORN AVE, SUITE D

    HEMATOLOGY ONCOLOGY PRACTICE OF SOUTHSIDE VA, PC

    SOUTH BOSTON, VA 245921662

    Phone: (434) 575-1212

    Fax: (434) 575-1130

    Mailing address matches the actual address.

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: 2010-08-05

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
I20100805000055INurse PractitionerVATBD

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
99215Established patient office or other outpatient visit, 40-54 minutes27449$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2824$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2718$0
View full utilization report →

Insurance plans in this area (ZIP 24592)

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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: 1254311558View full group profile
NameSpecialtyState
Nurse PractitionerVA
General SurgeryVA
Sports Medicine, Orthopedic SurgeryVA
Orthopedic SurgeryVA
Diagnostic RadiologyVA
General SurgeryVA
-VA
-VA
Diagnostic RadiologyVA
Orthopedic SurgeryVA

Reviews

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Frequently asked questions

Where can patients find MRS. MICHELLE BENDER GIBSON (NP)'s NPI?
You can confirm MRS. MICHELLE BENDER GIBSON (NP) with NPI 1124077136; it appears in the national provider directory.
Is MRS. MICHELLE BENDER GIBSON (NP)'s NPI currently valid?
The extract we use shows MRS. MICHELLE BENDER GIBSON (NP) as active.
Does MRS. MICHELLE BENDER GIBSON (NP) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for MRS. MICHELLE BENDER GIBSON (NP). Clinical services aligned with this taxonomy classification.
Where is MRS. MICHELLE BENDER GIBSON (NP)'s primary listing?
We display South Boston, Virginia because that is what the record indicates for MRS. MICHELLE BENDER GIBSON (NP).
Is MRS. MICHELLE BENDER GIBSON (NP) a real provider?
This page reflects official NPPES data for NPI 1124077136. Always confirm identity and privileges with the practice and licensing boards.

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