ELIZABETH GIBSON (NP) – Family Nurse Practitioner, NPI 1649012303

ELIZABETH GIBSON (NP) is a healthcare provider. based in Norfolk, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 0024190475 (VA). The NPI Number for ELIZABETH GIBSON (NP) is 1649012303

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH GIBSON (NP)
NPI
1649012303
Phone
(336) 266-9795
Address
1217 LINDALE LN
Enumeration Date
12 June 2024
Last Update Date
20 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7573472712
Graduation Year
2024 (2 years ago)
PAC ID
4082150479
Group Practice PAC ID
8325277031
Professional Enrollment ID
I20240722002457
Address ID
VA237042823PO355XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for ELIZABETH GIBSON (NP)

  • 1217 LINDALE LN

    NORFOLK, VA 235033935

    Phone: (336) 266-9795

    Type: Mailing

  • 6160 KEMPSVILLE CIR STE 325A

    NORFOLK, VA 235023933

    Phone: (757) 354-2885

    Fax: (757) 917-5141

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-06-17 • Largest payer in this snapshot: ABIOMED ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$19
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: 2024-07-22

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
I20240722002457INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23503)

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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: 8325277031View full group profile
NameSpecialtyState
D E R M A T O L O G YVA
Physician AssistantVA
D E R M A T O L O G YVA
Physician AssistantVA
Physician AssistantVA
D E R M A T O L O G YVA

Reviews

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Frequently asked questions

What is the 10-digit NPI for ELIZABETH GIBSON (NP)?
ELIZABETH GIBSON (NP) — NPI 1649012303 — is the standard way to identify this listing.
Does CMS list ELIZABETH GIBSON (NP) as active?
Yes — ELIZABETH GIBSON (NP) is active in the NPI listing used on this page.
What healthcare role does ELIZABETH GIBSON (NP) hold?
Scheduling teams often label ELIZABETH GIBSON (NP) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for ELIZABETH GIBSON (NP)?
ELIZABETH GIBSON (NP)'s geographic hint is Norfolk, Virginia in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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