Jonathan Curtis Gibson, AGNP-C - Medicare Nurse Practitioner in Grand Rapids, MI

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Jonathan Curtis Gibson, AGNP-C is a medicare enrolled "Nurse Practitioner" in Grand Rapids, Michigan. His current practice location is 4100 Lake Dr Se, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 267-7414.

Jonathan Curtis Gibson is licensed to practice in Michigan (license number 4704232359) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245686161.

Contact Information

Jonathan Curtis Gibson, AGNP-C
4100 Lake Dr Se,
Grand Rapids, MI 49546-8292
(616) 267-7414
Not Available

Map and Direction




Provider's Profile

Full NameJonathan Curtis Gibson
GenderMale
SpecialityNurse Practitioner
Location4100 Lake Dr Se, Grand Rapids, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245686161
  • Provider Enumeration Date: 05/10/2016
  • Last Update Date: 10/02/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6709177553
  • Enrollment ID: I20160624001599

Medical Identifiers

Medical identifiers for Jonathan Curtis Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245686161NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 4704232359 (Michigan)Primary

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. Jonathan Curtis Gibson allows following entities to bill medicare on his behalf.
Entity NameSpectrum Health Primary Care Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235188673
PECOS PAC ID: 4587568647
Enrollment ID: O20031121000091
Entity NameIntercare Community Health Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326058512
PECOS PAC ID: 9537061254
Enrollment ID: O20040223000150
Entity NameRenal Associates Of West Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871674200
PECOS PAC ID: 2466348644
Enrollment ID: O20040225000277
Entity NameNewaygo County General Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750404927
PECOS PAC ID: 4880503051
Enrollment ID: O20040423001232
Entity NameMemorial Medical Center Of West Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972589489
PECOS PAC ID: 3678543659
Enrollment ID: O20071128000647

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. Jonathan Curtis Gibson 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 AddressPractice Location Address
Jonathan Curtis Gibson, AGNP-C
50 Industrial Park Rd,
Bangor, MI 49013-1246

Ph: (269) 427-7937		Jonathan Curtis Gibson, AGNP-C
4100 Lake Dr Se,
Grand Rapids, MI 49546-8292

Ph: (616) 267-7414

Reviews and Comments


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Paul Dieleman, PMHNP-BC
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Phone: 616-942-9610    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.