Individual provider Active NPI

Madison Louanne Gilmore, PA-C

  • Physician Assistant
  • Frisco, TX
National Provider Identifier
1326618398
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14704 Issued in TX
Practice address
13192 Dallas Pkwy Ste 620
Frisco, TX 75033-4248
Phone
(972) 668-3376
NPI assigned
Jun 30, 2021
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14704 TX Primary

Addresses

Primary practice location

13192 Dallas Pkwy Ste 620
Frisco, TX 75033-4248

Mailing address

5A Rhea Mills Cir
Prosper, TX 75078-9136
Phone (214) 491-0550

Other names 1

  • Miss Madison Louanne Mikeman Former name

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
I20220111002663 TX Practitioner - Physician Assistant 0446642078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
James P. Ralston, M.D., P.a.Group PAC ID 2365505641, 2 clinicians

Practice addresses (Care Compare)

5801 Virginia Pkwy
McKinney, TX 75071-5537

5801 Virginia Pkwy
Suite 102
McKinney, TX 75071-5410
Phone (972) 548-0333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA14704TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Geo N. Tabbal M.D. PLLC PastSince Jul 1, 2021 Accepting new patients

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, 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": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1326618398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5A RHEA MILLS CIR",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789136",
            "telephone_number": "214-491-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13192 DALLAS PKWY STE 620",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334248",
            "telephone_number": "972-668-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "MADISON",
        "middle_name": "LOUANNE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "MIKEMAN",
            "middle_name": "LOUANNE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.