Individual provider Active NPI

Hillary Robin Gargotta, FNP-C

  • Nurse Practitioner
  • Wylie, TX
National Provider Identifier
1295272805
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP132118 Issued in TX
Practice address
114 S Jackson Ave
Wylie, TX 75098-3919
Phone
(972) 526-5597
Fax
(972) 634-7344
NPI assigned
Jan 21, 2017
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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 AP132118 TX Primary
Primary Care Nurse Practitioner 363LP2300X AP132118 TX

Addresses

Primary practice location

114 S Jackson Ave
Wylie, TX 75098-3919

Mailing address

114 S Jackson Ave
Wylie, TX 75098-3919
Phone (972) 526-5597

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
I20170321000541 TX Practitioner - Nurse Practitioner 0042595753 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Sep 1, 2022 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Apr 3, 2017 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Apr 3, 2017 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Sep 1, 2022 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients
Camino Real Emergency Physicians PLLC Nurse Practitioner Past Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: healthybyhillary@org241.direct.charmhealth.com

Organizations & group practices 7

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": "1484956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1295272805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S JACKSON AVE",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750983919",
            "telephone_number": "972-526-5597",
            "fax_number": "972-634-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S JACKSON AVE",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750983919",
            "telephone_number": "972-526-5597",
            "fax_number": "972-634-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARGOTTA",
        "first_name": "HILLARY",
        "middle_name": "ROBIN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-21",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP132118",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP132118",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

Verify at the official NPI Registry.