Ellie Rachel Gibberman, ACNP-BC in Henrico, VA

Ellie Rachel Gibberman, ACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Henrico, Virginia. Her current practice location is 4000a Glenside Dr, Henrico, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 262-4763.

Ellie Rachel Gibberman is licensed to practice in Virginia (license number 0024169086) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295024867.

Contact Information

	Ellie Rachel Gibberman, ACNP-BC
	4000a Glenside Dr, Henrico, VA 23228-4102
	(804) 262-4763
	(804) 362-3612

Map and Direction

Provider's Profile

Full Name	Ellie Rachel Gibberman
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	4000a Glenside Dr, Henrico, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295024867
Provider Enumeration Date: 04/04/2011
Last Update Date: 05/21/2026

Medicare PECOS Information:

PECOS PAC ID: 5698952679
Enrollment ID: I20110531000009

Medical Identifiers

Medical identifiers for Ellie Rachel Gibberman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295024867	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4052774 (Kentucky)	Secondary
363L00000X	Nurse Practitioner	3-002769 (Alabama)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	0024169086 (Virginia)	Primary
363L00000X	Nurse Practitioner	APRN11044056 (Florida)	Secondary
363L00000X	Nurse Practitioner	C-APN.0105713-C-NP (Colorado)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ellie Rachel Gibberman allows following entities to bill medicare on her behalf.

Entity Name	Carelon Health Of Virginia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831441781 PECOS PAC ID: 5597004689 Enrollment ID: O20190307001734

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ellie Rachel Gibberman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ellie Rachel Gibberman, ACNP-BC 46 Little Falls Ln, Rockville, VA 23146-2123 Ph: () -	Ellie Rachel Gibberman, ACNP-BC 4000a Glenside Dr, Henrico, VA 23228-4102 Ph: (804) 262-4763

Reviews and Comments

Nurse Practitioner Nurses in Henrico, VA

Mrs. Ifeoma Nkemdilim Jennifer Elebo, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2301 Hilliard Rd Ste 4, Henrico, VA 23228 Phone: 804-546-4966 Fax: 804-250-4583
Stacey Renae White, AGPCNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3001 Hungary Spring Rd Ste C, Henrico, VA 23228 Phone: 804-415-7156 Fax: 804-420-2854
Mrs. Andrea L. Mayo, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 8006 Discovery Dr Ste 400, Henrico, VA 23229 Phone: 804-256-8282 Fax: 804-256-8288
Brittney Michelle Clark, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2101 E Parham Rd Ste 102, Henrico, VA 23228 Phone: 804-799-9292 Fax: 757-930-6464
Rachel Elizabeth Ingram, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10431 Patterson Ave Ste C24, Henrico, VA 23238 Phone: 804-313-9109 Fax: 804-408-9399
Popel Chan Manev, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2305 N Parham Rd Ste 201, Henrico, VA 23229 Phone: 804-716-8123 Fax: 804-716-8129
Mrs. Sia Ebitomi M Boateng, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8006 Discovery Dr Ste 400, Henrico, VA 23229 Phone: 804-256-8282

Ellie Rachel Gibberman, ACNP-BC - Medicare Nurse Practitioner in Henrico, VA