Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Kevin Scott Gibbs, RN

Individual provider Medical-Surgical Registered Nurse · NPI 1811527096

Mr. Kevin Scott Gibbs, RN is a Nurse Practitioner in Brockport, New York. Qualified in 2021, 5 years ago. Practices with St James Hospital, a 130-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

6668 Fourth Section Rd
Brockport, NY 14420-2448
Phone: (585) 368-6870
Fax: (585) 368-6871
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4400 Vestal Pkwy E, Binghamton, NY 13902-4400 — (607) 777-4954

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 347986 (NY)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence 717458-1 (NY)

Record details

NPI number1811527096
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedJanuary 16, 2020
Last updated in NPPESMarch 16, 2023
Certification dateMarch 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice St James Hospital — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount