Nicole Gibbons, PA-C - Medicare Physician Assistant in Tampa, FL

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Nicole Gibbons, PA-C is a medicare enrolled "Physician Assistant" in Tampa, Florida. Her current practice location is 5420 Webb Rd, Suite B-1, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 886-0548.

Nicole Gibbons is licensed to practice in Florida (license number PA9107929) 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 1730580242.

Contact Information

Nicole Gibbons, PA-C
5420 Webb Rd, Suite B-1,
Tampa, FL 33615-3250
(813) 886-0548
(813) 886-0890

Map and Direction




Provider's Profile

Full NameNicole Gibbons
GenderFemale
SpecialityPhysician Assistant
Location5420 Webb Rd, Tampa, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730580242
  • Provider Enumeration Date: 09/16/2014
  • Last Update Date: 12/07/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7911227947
  • Enrollment ID: I20150514002272

Medical Identifiers

Medical identifiers for Nicole Gibbons such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730580242NPI-NPPES
Y0R3MOtherFLBCBS
014708700MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA9107929 (Florida)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. Nicole Gibbons allows following entities to bill medicare on her behalf.
Entity NameInphynet Contracting Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073556767
PECOS PAC ID: 7416865811
Enrollment ID: O20031105000125
Entity NameUniversity Medical Service Association Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992742324
PECOS PAC ID: 6800790221
Enrollment ID: O20031126000130
Entity NameSynergic Healthcare Solutions LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063718013
PECOS PAC ID: 7618235573
Enrollment ID: O20180502000041

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. Nicole Gibbons 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
Nicole Gibbons, PA-C
Po Box 917770, Suite B-1,
Orlando, FL 32891-0001

Ph: (813) 821-8038		Nicole Gibbons, PA-C
5420 Webb Rd, Suite B-1,
Tampa, FL 33615-3250

Ph: (813) 886-0548

Reviews and Comments


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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.