Nicholas Gibson, MD
NPI 1629719612 · Internal Medicine Physician · Green Bay, WI
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicholas Gibson, MD is a Internal Medicine Physician provider in Green Bay, WI (NPI 1629719612).
Provider details
- NPI number
- 1629719612
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 83881 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-04-05
- Last updated
- 2025-09-10
- Certified
- 2025-09-10
Frequently asked questions
- What is Nicholas Gibson's NPI number?
- Nicholas Gibson's National Provider Identifier (NPI) is 1629719612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Gibson's specialty?
- Nicholas Gibson is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Nicholas Gibson located?
- Nicholas Gibson's practice location on file with NPPES is 2845 Greenbrier Rd, Green Bay, WI 54311-6519.
- What is Nicholas Gibson's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Gibson is (920) 288-8000.
- Does Nicholas Gibson accept Medicare?
- Nicholas Gibson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicholas Gibson's NPI active?
- Yes — Nicholas Gibson's NPI (1629719612) is active in the NPPES registry as of the last update on 2025-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.