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

Susanne W Gibbons, CRNP

Individual provider Nurse Practitioner · NPI 1649287293

Susanne W Gibbons, CRNP is a Nurse Practitioner in Columbia, Maryland. Qualified in 1991, 35 years ago. Practices with St Agnes Healthcare Inc, a 269-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
35
Licensed in
MD
In the registry since
2006
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

5457 Twin Knolls Rd Ste 100
Columbia, MD 21045-3263
Phone: (410) 689-7400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R093831 (MD)

Record details

NPI number1649287293
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedAugust 2, 2006
Last updated in NPPESApril 12, 2024
Certification dateApril 12, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice St Agnes Healthcare Inc — 269 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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