Kacie Lynn Gibson, CRNP is a
Nurse Practitioner based in Jersey Shore, Pennsylvania. Kacie Lynn Gibson is licensed to practice in Pennsylvania (license number SP028013) and her current practice location is
1020 Thompson St, Jersey Shore, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(570) 398-1991.
NPI number for Kacie Lynn Gibson is 1679357297 and her current mailing address is 100 N Academy Ave, Danville, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679357297.
Provider's Profile
Full Name | Kacie Lynn Gibson |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 1020 Thompson St, Jersey Shore, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679357297
- Provider Enumeration Date: 08/23/2023
- Last Update Date: 12/02/2023
Medical Identifiers
Medical identifiers for Kacie Lynn Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679357297 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LA2200X | Nurse Practitioner - Adult Health | SP028013 (Pennsylvania) | Secondary |
363L00000X | Nurse Practitioner | SP028013 (Pennsylvania) | Primary |
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. Kacie Lynn Gibson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kacie Lynn Gibson, CRNP 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Kacie Lynn Gibson, CRNP 1020 Thompson St, Jersey Shore, PA 17740-1729 Ph: (570) 398-1991 |
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