Individual provider Active NPI

Gwendolyn Clark Brown, FNP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1497835722
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP112485 Issued in TX
Practice address
10425 N Central Expy
Dallas, TX 75231-2208
Phone
(214) 361-2025
Fax
(214) 361-2028
NPI assigned
Oct 17, 2006
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP112485 TX Primary
Nurse Practitioner 363L00000X AP112485 TX

Addresses

Primary practice location

10425 N Central Expy
Dallas, TX 75231-2208

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (729) 978-0009

Other practice location 1

17051 Dallas Pkwy Ste 440
Addison, TX 75001-7114
Phone (972) 572-6101

Other practice location 2

9301 N Central Expy Ste 685
Dallas, TX 75231-0806
Phone (972) 572-6101

Other practice location 3

6606 Lbj Fwy Ste 200
Dallas, TX 75240
Phone (972) 715-5000

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
I20040325000588 TX Practitioner - Nurse Practitioner 7113819228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collaborative Health Group PLLCGroup PAC ID 0042622508, 2 clinicians

Practice addresses (Care Compare)

9301 N Central Expy
Suite 685
Dallas, TX 75231-0816
Phone (469) 697-7300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.16 of 100Reported as individual
Quality
77.53
Improvement activities
40
Cost
62.21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Health Group, PLLC CurrentSince Dec 1, 2020 Accepting new patients
Charles R Gordon MD PA CurrentSince Jul 1, 2021 Accepting new patients
Charles R Gordon MD PA Nurse Practitioner CurrentSince Jul 1, 2021 Accepting new patients

Locations

17051 Dallas Pkwy
Ste 440
Addison, TX 75001
Phone (214) 212-0158

3050 S Center St
Ste 160
Arlington, TX 76014
Phone (214) 212-0158

9301 N Central Expy
Ste 685
Dallas, TX 75231
Phone (214) 212-0158

2504 Ridge Rd
Ste 201
Rockwall, TX 75087
Phone (469) 697-7300

433 E Interstate 30
Rockwall, TX 75087
Phone (972) 722-8800

Interoperability endpoints

  • Direct secure messaging: gwendolyn.brown.1@29896.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1497835722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "729-978-0009",
            "fax_number": "972-234-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312208",
            "telephone_number": "214-361-2025",
            "fax_number": "214-361-2028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17051 Dallas Pkwy Ste 440",
            "address_purpose": "LOCATION",
            "city": "Addison",
            "state": "TX",
            "postal_code": "750017114",
            "country_code": "US",
            "telephone_number": "972-572-6101",
            "fax_number": "972-572-6104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9301 N Central Expy Ste 685",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752310806",
            "country_code": "US",
            "telephone_number": "972-572-6101",
            "fax_number": "972-572-6104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6606 Lbj Fwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75240",
            "country_code": "US",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "GWENDOLYN",
        "middle_name": "CLARK",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP112485",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP112485",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.