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

Mr. Nathaniel James Gibson

Individual provider Certified Registered Nurse Anesthetist · NPI 1508572355

Mr. Nathaniel James Gibson is a Certified Registered Nurse Anesthetist (CRNA) in Urbana, Illinois. Qualified in 2022, 4 years ago. Practices with Sarah Bush Lincoln Health Center, a 410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2023
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Practice location Address checks out

611 W Park St
Urbana, IL 61801-2529
Phone: (217) 383-3311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Health Center Dr, Mattoon, IL 61938-4644 — (217) 238-4329

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 209.026720 (IL)

Record details

NPI number1508572355
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 25, 2023
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025
Mailing address4550 Nicklaus Dr Apt 107, Champaign, IL 61822-1507

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sarah Bush Lincoln Health Center — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Urbana