Mrs Stacey Nicole Gibson, CRNP in Hagerstown, MD

Mrs Stacey Nicole Gibson, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Hagerstown, Maryland. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ennoble Hc Dmv Llc and her current practice location is 11110 Medical Campus Rd Ste 147, Hagerstown, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 714-4350.

Mrs Stacey Nicole Gibson is licensed to practice in Maryland (license number R170910) 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 1154876423.

Contact Information

	Mrs Stacey Nicole Gibson, CRNP
	11110 Medical Campus Rd Ste 147, Hagerstown, MD 21742-6755
	(301) 714-4350
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Stacey Nicole Gibson
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	11110 Medical Campus Rd Ste 147, Hagerstown, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Stacey Nicole Gibson graduated from nursing school in 2016

NPI Data:

NPI Number: 1154876423
Provider Enumeration Date: 08/16/2016
Last Update Date: 08/19/2021

Medicare PECOS Information:

PECOS PAC ID: 6507154945
Enrollment ID: I20161018000827

Medical Identifiers

Medical identifiers for Mrs Stacey Nicole Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154876423	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R170910 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Home Call - Frederick	Frederick, MD	Home health agency
Frederick Health Hospital, Inc	Frederick, MD	Home health agency
Amedisys Home Health	Westminster, MD	Home health agency
Hospice Of Frederick County	Frederick, MD	Hospice

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ennoble Hc Dmv Llc	9032517925	26

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. Mrs Stacey Nicole Gibson allows following entities to bill medicare on her behalf.

Entity Name	Meritus Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205176393 PECOS PAC ID: 7113811795 Enrollment ID: O20040212000950

Entity Name	Medical Practices Of Antietam, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558430843 PECOS PAC ID: 2567353865 Enrollment ID: O20040324001019

Entity Name	Ennoble Hc Dmv Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104492115 PECOS PAC ID: 9032517925 Enrollment ID: O20211209000400

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. Mrs Stacey Nicole 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 Address	Practice Location Address
Mrs Stacey Nicole Gibson, CRNP 11110 Medical Campus Rd Ste 147, Hagerstown, MD 21742-6755 Ph: (301) 714-4350	Mrs Stacey Nicole Gibson, CRNP 11110 Medical Campus Rd Ste 147, Hagerstown, MD 21742-6755 Ph: (301) 714-4350

Reviews and Comments

Nurse Practitioner Nurses in Hagerstown, MD

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Ms. Teresa Ann Dumpe, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 354 Mill Street, Hagerstown, MD 21740 Phone: 301-797-0210 Fax: 301-791-6514
Amber Nichole Peck, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24 N Walnut St, Hagerstown, MD 21740 Phone: 240-452-3440
Mrs. Ann Elizabeth Beauchamp, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24 N Walnut St, Hagerstown, MD 21740 Phone: 301-745-3777
Tara Baker, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11116 Medical Campus Rd, Hagerstown, MD 21742 Phone: 301-667-0041
Jennifer Lyn Foster, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13620 Crayton Blvd Ste B, Hagerstown, MD 21742 Phone: 240-313-9890
Mrs. Christina Maria Scuderi, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13620 Crayton Blvd, Hagerstown, MD 21742 Phone: 240-313-9890

Mrs Stacey Nicole Gibson, CRNP - Medicare Nurse Practitioner in Hagerstown, MD