Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mrs. Jennie Lynn Gibson, PA-C

Physician Assistant in South Bend, IN · enumerated 2022.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639886708

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Registry record

Entity type Individual (Type 1)

Name Mrs. Jennie Lynn Gibson

Credential PA-C

Sex Female

Practice address 53880 Carmichael Dr, South Bend, IN, 46635

Phone (574) 247-9441

Enumeration date Oct 28, 2022

Last updated in NPPES Sep 3, 2024

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 5601011393 (MI) Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 10003788A (IN) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Jennie Gibson?

The National Provider Identifier (NPI) for Jennie Gibson is 1639886708, a Type 1 (individual) record in the CMS NPPES registry.

Where does Jennie Gibson practice?

The practice location on file with NPPES is in South Bend, IN. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-09-03.