Individual provider Active NPI

Gwendoline O Ugwuibe, AGACNP-BC

  • Gerontology Nurse Practitioner
  • Allen, TX
National Provider Identifier
1184120586
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP136441 Issued in TX
Practice address
950 W Bethany Dr Ste 570
Allen, TX 75013-3845
Phone
(844) 941-3087
Fax
(844) 593-1570
NPI assigned
Apr 4, 2018
Last updated
Feb 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP136441 TX
Gerontology Nurse Practitioner 363LG0600X AP136441 TX Primary

Addresses

Primary practice location

950 W Bethany Dr Ste 570
Allen, TX 75013-3845

Mailing address

950 W Bethany Dr Ste 570
Allen, TX 75013-3845
Phone (844) 941-3087

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
I20180601000170 TX Practitioner - Nurse Practitioner 5890760300 Reassigns benefits to 6 organizations

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
Mana Health Partners TX PLLCGroup PAC ID 7214455914, 35 clinicians
Meridian Health Post Acute PLLCGroup PAC ID 0648750679, 55 clinicians
Meridian Health Partners PLLCGroup PAC ID 5597170878, 66 clinicians

Practice addresses (Care Compare)

1241 Westridge Ave
Lancaster, TX 75146-1442
Phone (972) 227-5110

950 W Bethany Dr
Suite 570
Allen, TX 75013-3845
Phone (844) 941-3087

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC Internal Medicine CurrentSince Oct 1, 2022 Accepting new patients
Meridian Health Partners PLLC Internal Medicine CurrentSince Jan 7, 2026 Accepting new patients
Infinite Medical PC Nurse Practitioner CurrentSince Aug 22, 2025 Accepting new patients
Iah of Texas, PLLC CurrentSince Nov 5, 2022 Accepting new patients
Vpa of Texas PLLC CurrentSince Oct 1, 2022 Accepting new patients
Meridian Health Post Acute PLLC Internal Medicine CurrentSince Jan 7, 2026 Accepting new patients
Vpa of Texas PLLC Internal Medicine Current Accepting new patients

Locations

250 Skillman St
Ste 202
Brooklyn, NY 11205

950 W Bethany Dr
Ste 570
Allen, TX 75013
Phone (402) 651-5338

405 Duncan Perry Rd
Arlington, TX 76011
Phone (817) 649-3366

5402 S Staples St
Ste 103
Corpus Christi, TX 78411
Phone (361) 888-5301

9715 Plano Rd
Dallas, TX 75238
Phone (214) 343-7445

1201 Colonel Dr
Garland, TX 75043
Phone (210) 602-1140

15015 Cypress Wood Medical Dr
Houston, TX 77014
Phone (281) 301-1149

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

3001 S Houston St
Kaufman, TX 75142
Phone (972) 932-2118

3100 S Rigsbee Dr
Plano, TX 75074
Phone (972) 423-6217

5414 Fredericksburg Rd
Ste 100A
San Antonio, TX 78229
Phone (210) 468-0800

411 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 885-7668

424 Tarpey Rd
Texas City, TX 77591
Phone (409) 938-8431

8001 Western Hills Blvd
Wht Settlemt, TX 76108
Phone (817) 246-4953

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1184120586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 W BETHANY DR STE 570",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133845",
            "telephone_number": "844-941-3087",
            "fax_number": "844-593-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W BETHANY DR STE 570",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133845",
            "telephone_number": "844-941-3087",
            "fax_number": "844-593-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGWUIBE",
        "first_name": "GWENDOLINE",
        "middle_name": "O",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP136441",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP136441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.