Kelsey Gibson, NP - Medicare Nurse Practitioner in Kernersville, NC

Kelsey Gibson, NP is a medicare enrolled "Nurse Practitioner" in Kernersville, North Carolina. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kernersville Emergency Group, Pllc, Forsyth Memorial Hospital Inc and her current practice location is 1696 Ridgestone Ln, Kernersville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 970-1068.

Kelsey Gibson is licensed to practice in North Carolina (license number 5015717) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477204659.

Contact Information

Kelsey Gibson, NP
1696 Ridgestone Ln,
Kernersville, NC 27284-6644
(336) 970-1068
Not Available

Map and Direction




Provider's Profile

Full NameKelsey Gibson
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location1696 Ridgestone Ln, Kernersville, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelsey Gibson graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1477204659
  • Provider Enumeration Date: 01/10/2022
  • Last Update Date: 03/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9931594850
  • Enrollment ID: I20220311000313

Medical Identifiers

Medical identifiers for Kelsey Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477204659NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0200XRegistered Nurse - Critical Care Medicine 294297 (North Carolina)Secondary
363LF0000XNurse Practitioner - Family 5015717 (North Carolina)Secondary
363L00000XNurse Practitioner 5015717 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Novant Health Forsyth Medical CenterWinston-salem, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kernersville Emergency Group, Pllc337588542929
Forsyth Memorial Hospital Inc9537071790516

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. Kelsey Gibson allows following entities to bill medicare on her behalf.
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692
Entity NameForsyth Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104548874
PECOS PAC ID: 9537071790
Enrollment ID: O20040405001702
Entity NamePiedmont Triad Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295206464
PECOS PAC ID: 6406197334
Enrollment ID: O20190403000344
Entity NameKernersville Emergency Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750852034
PECOS PAC ID: 3375885429
Enrollment ID: O20190422001205
Entity NameTanglewood Park Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093286379
PECOS PAC ID: 3476895129
Enrollment ID: O20190429001041

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. Kelsey 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
Kelsey Gibson, NP
Po Box 751803,
Charlotte, NC 28275-1803

Ph: () -
Kelsey Gibson, NP
1696 Ridgestone Ln,
Kernersville, NC 27284-6644

Ph: (336) 970-1068

Reviews and Comments


Nurse Practitioner Nurses in Kernersville, NC

Dr. Joshua Lee Mcdaniel, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1730 Kernersville Medical Pkwy Ste 203, Kernersville, NC 27284
Phone: 336-564-4445    Fax: 336-992-3240
Mrs. Susan D. Sander, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1695 Kernersville Medical Pkwy, Kernersville, NC 27284
Phone: 336-515-5000    Fax: 336-515-5400
Lisa V Yang, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 420 W Mountain St, Kernersville, NC 27284
Phone: 336-993-1618    Fax: 336-993-5512
Mrs. Arian Minton Robinson, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 291 Broad St, Kernersville, NC 27284
Phone: 336-993-8181    Fax: 336-996-9538
Dr. Shauna Embler Jarrett, DNP, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 291 Broad St, Kernersville, NC 27284
Phone: 336-993-8181    Fax: 336-996-9538
Lisa Ann Kiger, APRN-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1710 Kernersville Medical Pkwy Ste 205, Kernersville, NC 27284
Phone: 336-996-7076    Fax: 336-996-7832
Omobolawa Oreoluwa Olagoke,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1710 Kernersville Medical Pkwy Ste 201, Kernersville, NC 27284
Phone: 336-515-7440    Fax: 336-515-7449

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.