Nichole Gudgeon, PA-C
NPI 1508316647ActiveIndividual· Physician Assistant· Killeen, TX
Physician Assistant (PA-C) with Scott and White Clinic, practicing in Killeen, Texas. In 2024 Medicare paid $18,203 for 330 patients, and Part D covered 458 of their prescriptions, 86% of them generic. Lists Baylor Scott & White Medical Center - Temple as a hospital affiliation.
Overview
| NPI | 1508316647 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 13, 2016 |
| Last updated in NPPES | May 10, 2023 |
| Certified by provider | May 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA13699 | TX |
| Physician Assistant | 363A00000X | 2613 | SC |
| Physician Assistant | 363A00000X | 2018004237 | MO |
| Physician Assistant | 363A00000X | 7448 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (SC); Practitioner - Physician Assistant (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 330 |
|---|---|
| Services billed | 354 across 5 procedure codes |
| Paid by Medicare | $18,203 |
Part D prescriptions in 2024
| Prescriptions (claims) | 458 · 496 30-day fills |
|---|---|
| Patients | 304 |
| Total drug cost | $5,299 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Scott and White ClinicCollege Station, TX · 2,461 clinicians
Hospital affiliation
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 47 physician assistants in Killeen · All physician assistants in Texas