The903np
NPI 1669299889ActiveOrganization· Nurse Practitioner, Primary Care· Longview, TX
Nurse Practitioner, Primary Care in Longview, Texas, registered in NPPES in September 2024. The authorized official on file is Charlsie Ferguson Gillcoat, APRN-BC, Ceo / Nurse Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1669299889 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2024 |
| Last updated in NPPES | Nov 23, 2025 |
| Certified by provider | Nov 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
Other Nurse Practitioner, Primary Care providers in Longview
- 1760861694
- 1205258753
- 1154629798
- 1306517834
- 1629246574
- 1821769381
- 1003732447