Active NPI
Madison Louanne Gilmore, PA-C
- Physician Assistant
- Frisco, TX
National Provider Identifier
1326618398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA14704
- Practice address
- 13192 Dallas Pkwy Ste 620
Frisco, TX 75033-4248 - Phone
- (972) 668-3376
- NPI assigned
- Jun 30, 2021
- Last updated
- Aug 31, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA14704 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geo N. Tabbal M.D. PLLC | Past | 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.
-
dba Dermatology Center of McKinney
- Medical Specialty Clinic/Center
- McKinney, TX
- NPI 1710143870
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.