Individual provider Active NPI

Gemma Beth Anderson, FNP-BC

  • Family Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1124524780
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137210 Issued in TX
Practice address
902 W Randol Mill Rd
Arlington, TX 76012
Phone
(817) 664-9600
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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 AP137210 TX Primary

Addresses

Primary practice location

902 W Randol Mill Rd
Arlington, TX 76012

Mailing address

902 W Randol Mill Rd Ste 150
Arlington, TX 76012-2581
Phone (817) 664-9600

Other identifiers 1

IdentifierTypeStateIssuer
382223101MedicaidTX

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
I20180418001706 TX Practitioner - Nurse Practitioner 1052674371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

906 W Randol Mill Rd
2ND Floor Suite 200
Arlington, TX 76012-2510
Phone (817) 261-4906

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP137210TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA Current Accepting new patients
Texas Oncology PA CurrentSince Mar 19, 2022 Accepting new patients
Texas Oncology PA CurrentSince Mar 19, 2022 Accepting new patients

Locations

902 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-9086

902 W Randol Mill Rd
Ste 150
Arlington, TX 76012
Phone (817) 417-9334

906 W Randol Mill Rd
Fl 2
Arlington, TX 76012
Phone (817) 261-4906

4201 Brown Trl
Ste 101
Colleyville, TX 76034
Phone (682) 217-2102

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

4370 Medical Arts Dr
Ste 100
Flower Mound, TX 75028
Phone (972) 537-4100

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

252 Matlock Rd
Ste 140
Mansfield, TX 76063
Phone (817) 435-5800

Interoperability endpoints

  • Direct secure messaging: gemma.anderson@txo.ikm.direct-ci.com

Organizations & group practices 3

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": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1124524780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W RANDOL MILL RD STE 150",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122581",
            "telephone_number": "817-664-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 W RANDOL MILL RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76012",
            "telephone_number": "817-664-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "GEMMA",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382223101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.