Jennie Gibson, PA-C
NPI 1639886708 · Physician Assistant · South Bend, IN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jennie Gibson, PA-C is a Physician Assistant provider in South Bend, IN (NPI 1639886708).
Provider details
- NPI number
- 1639886708
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 5601011393 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
3 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
299 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 147 | $11 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 79 | $96 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 37 | $70 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 19 | $132 |
| X-Ray of Wrist, 2 Views73100 | 17 | $26 |
Typical Medicare-allowed amounts for these services range $11–$132 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tramadol Hcl | 101 | 86 |
| Methylprednisolone | 37 | 28 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 29 | 21 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 27 | 22 |
| Cephalexin | 20 | 19 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$681 across 12 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (3)
- 303 S Nappanee St Ste FElkhart, IN 46514-2066Phone: (574) 247-9441
- 60160 Bodnar BlvdMishawaka, IN 46544-9338Phone: (574) 247-9441
- 2349 Lake Ave Ste 201Plymouth, IN 46563-7837Phone: (574) 247-9441
Registry dates
- Enumerated
- 2022-10-28
- Last updated
- 2024-09-03
- Certified
- 2024-09-03
Frequently asked questions
- What is Jennie Gibson's NPI number?
- Jennie Gibson's National Provider Identifier (NPI) is 1639886708, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennie Gibson's specialty?
- Jennie Gibson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jennie Gibson located?
- Jennie Gibson's practice location on file with NPPES is 53880 Carmichael Dr, South Bend, IN 46635-1567.
- What is Jennie Gibson's phone number?
- The practice phone number listed in the NPPES registry for Jennie Gibson is (574) 247-9441.
- Does Jennie Gibson accept Medicare?
- Jennie Gibson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jennie Gibson's NPI active?
- Yes — Jennie Gibson's NPI (1639886708) is active in the NPPES registry as of the last update on 2024-09-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.