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

Rada Gibson

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1508397910

Rada Gibson is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2019, 7 years ago. Practices with Mercy ACO Clinical Services Inc, a 138-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
7
Licensed in
MO
In the registry since
2017
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Practice location Address checks out

10018 Kennerly Rd
Saint Louis, MO 63128-2106
Phone: (314) 525-7275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2014007149 (MO)

Record details

NPI number1508397910
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 27, 2017
Last updated in NPPESDecember 13, 2019
Certification dateDecember 13, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mercy Aco Clinical Services Inc — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Saint Louis