Individual provider Active NPI

Amanda J Gaccetta, DO

  • Obstetrics & Gynecology Physician
  • Mansfield, TX
National Provider Identifier
1417219197
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
R2854 Issued in TX
Practice address
2300 Lone Star Rd
Mansfield, TX 76063-8744
Phone
(682) 341-5000
NPI assigned
Jun 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 62580-21 WI
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X R2854 TX Primary

Addresses

Primary practice location

2300 Lone Star Rd
Mansfield, TX 76063-8744

Mailing address

2300 Lone Star Rd
Mansfield, TX 76063-8744
Phone (682) 341-5000

Other practice location 1

410 Dewey St
Wisconsin Rapids, WI 54494-4715
Phone (715) 423-6060

Other practice location 2

5409 Vern Holmes Dr
Stevens Point, WI 54482-8853
Phone (715) 344-1600

Other practice location 3

333 Pine Ridge Blvd
Wausau, WI 54401-4102
Phone (715) 847-2121

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agaccetta391496@ewd.direct.hshs.org Direct St. Nicholas Hospital-Sisters of the Third Order of St Francis

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180419002269 WI Practitioner - Obstetrics/Gynecology 8426311721 Reassigns benefits to 4 organizations
I20240522003487 TX Practitioner - Obstetrics/Gynecology 8426311721 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arlington Physician Services PAGroup PAC ID 8224256961, 43 clinicians

Practice addresses (Care Compare)

2300 Lone Star Rd
Mansfield, TX 76063-8744
Phone (682) 341-5000

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Quality
87.9
Promoting interoperability
100
Improvement activities
40
Cost
73.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
R2854TXMDObstetrics & Gynecology Physician
62580-21WIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Riverview Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Mar 31, 2018 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Jul 23, 2022 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Jul 23, 2022 Accepting new patients
Arlington Physician Services PA Obstetrics & Gynecology CurrentSince Aug 26, 2025 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Aug 19, 2021 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Aug 19, 2021 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Mar 9, 2024 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Mar 31, 2018 Accepting new patients
Baylor Medical Center at Waxahachie Past Accepting new patients
San Jacinto Methodist Hospital Past Accepting new patients
Tyler Family Circle of Care PastSince Jan 19, 2025 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

2300 Lone Star Rd
Mansfield, TX 76063
Phone (682) 341-5000

143 S Gibson St
Medford, WI 54451
Phone (715) 748-2121

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

5409 Vern Holmes Dr
Stevens Point, WI 54482
Phone (715) 342-1015

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

2031 Peach St
Wisconsin Rapids, WI 54494
Phone (715) 423-0122

410 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-5257

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10114/brand/2/csg/1/fhir/r4
  • Direct secure messaging: agaccetta391496@ewd.direct.hshs.org
  • Direct secure messaging: agaccetta568189@christushealth.direct-ci.net
  • Direct secure messaging: agaccetta132372@direct.aspirus.org

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1417219197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 LONE STAR RD",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638744",
            "telephone_number": "682-341-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 LONE STAR RD",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638744",
            "telephone_number": "682-341-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Dewey St",
            "address_purpose": "LOCATION",
            "city": "Wisconsin Rapids",
            "state": "WI",
            "postal_code": "544944715",
            "country_code": "US",
            "telephone_number": "715-423-6060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5409 Vern Holmes Dr",
            "address_purpose": "LOCATION",
            "city": "Stevens Point",
            "state": "WI",
            "postal_code": "544828853",
            "country_code": "US",
            "telephone_number": "715-344-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Pine Ridge Blvd",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544014102",
            "country_code": "US",
            "telephone_number": "715-847-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GACCETTA",
        "first_name": "AMANDA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "62580-21",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "R2854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agaccetta391496@ewd.direct.hshs.org",
            "affiliation": "Y",
            "affiliationName": "St. Nicholas Hospital-Sisters of the Third Order of St Francis",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "3100 Superior Ave",
            "city": "Sheboygan",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530811948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.