Individual provider Active NPI

Austin Drew Gipson, FNP

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1043995673
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1125990 Issued in TX
Practice address
9557 N Beach St Ste 121
Fort Worth, TX 76244-6437
Phone
(817) 741-5050
NPI assigned
Jun 20, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1125990 TX Primary

Addresses

Primary practice location

9557 N Beach St Ste 121
Fort Worth, TX 76244-6437

Mailing address

319 Thompson Rd
Weatherford, TX 76087-8165
Phone (817) 932-5057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230725000195 TX Practitioner - Nurse Practitioner 5991165870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medi Care Clinics PLLCGroup PAC ID 1557668050, 5 clinicians

Practice addresses (Care Compare)

9557 N Beach St
Suite 121
Fort Worth, TX 76244-6395
Phone (817) 741-5050

Hospital & facility affiliations

  • Medical City Denton Hospital, Denton, TX, CCN 450634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medi Care Clinics PLLC Family CurrentSince Jun 22, 2023 Accepting new patients
Family Medicine of North Texas, P.a. PastSince Jun 22, 2023 Accepting new patients

Locations

2601 Scripture St
Ste 102
Denton, TX 76201
Phone (940) 442-6455

9557 N Beach St
Ste 121
Fort Worth, TX 76244
Phone (817) 741-5050

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1043995673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 THOMPSON RD",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760878165",
            "telephone_number": "817-932-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9557 N BEACH ST STE 121",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446437",
            "telephone_number": "817-741-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIPSON",
        "first_name": "AUSTIN",
        "middle_name": "DREW",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1125990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.