Misti Dawn Gibson, CNP is a
Nurse Practitioner - Family based in San Jon, New Mexico. Misti Dawn Gibson is licensed to practice in New Mexico (license number 88590) and her current practice location is
1200 E Elm Ave, San Jon, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(575) 403-7601.
NPI number for Misti Dawn Gibson is 1912854563 and her current mailing address is 1200 E Elm Ave, San Jon, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912854563.
Provider's Profile
| Full Name | Misti Dawn Gibson |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 1200 E Elm Ave, San Jon, New Mexico |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912854563
- Provider Enumeration Date: 03/12/2026
- Last Update Date: 03/12/2026
Medical Identifiers
Medical identifiers for Misti Dawn Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1912854563 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 88590 (New Mexico) | 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. Misti Dawn 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 |
Misti Dawn Gibson, CNP 1200 E Elm Ave, San Jon, NM 88434-9724 Ph: (575) 403-7601 | Misti Dawn Gibson, CNP 1200 E Elm Ave, San Jon, NM 88434-9724 Ph: (575) 403-7601 |
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