Active NPI
Ethan David Gager, NP
- Family Nurse Practitioner
- Little Elm, TX
National Provider Identifier
1528618121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95034313
- Practice address
- 2700 E Eldorado Pkwy
Little Elm, TX 75068-5999 - Phone
- (972) 987-0458
- NPI assigned
- Sep 16, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | AP139837 | TX | |
| Family Nurse Practitioner | 363LF0000X | 907598 | MS | |
| Family Nurse Practitioner | 363LF0000X | 95034313 | CA | Primary |
Addresses
Primary practice location
2700 E Eldorado Pkwy
Little Elm, TX 75068-5999
Mailing address
1432 Creek Springs Dr
Allen, TX 75002-0993
Phone (214) 385-5920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2143855920 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | nppes.cms.hhs.gov/#/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, UT, WA, CA, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 907598 | MS | MD | Family Nurse Practitioner |
| AP139837 | TX | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molina Healthcare of Utah Inc | Family | Current | Accepting new patients |
| Molina Healthcare of California | Current | Accepting new patients | |
| Molina Healthcare of Washington, Inc | Current | Accepting new patients | |
| Molina Healthcare of Washington, Inc | Current | Accepting new patients | |
| Central Health Plan of California, Inc. | Current | Accepting new patients |
Locations
200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666
7050 S Union Park Ave
Ste 200
Midvale, UT 84047
Phone (562) 549-3966
15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727
Interoperability endpoints
- https://epicproxy.et1057.epichosted.com/FHIRProxy/api/FHIR/R4/
- egager12321@direct-prd.molinahealthcare.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Maintenance Organization
- Diamond Bar, CA
- NPI 1386714772
-
- Health Maintenance Organization
- Long Beach, CA
- NPI 1194811760
-
- Family Nurse Practitioner
- Midvale, UT
- NPI 1619486396
-
- Family Medicine Physician
- Everett, WA
- NPI 1912235060
-
- Family Medicine Physician
- Bothell, WA
- NPI 1659897163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1528618121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1432 CREEK SPRINGS DR",
"city": "ALLEN",
"state": "TX",
"postal_code": "750020993",
"telephone_number": "214-385-5920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 E ELDORADO PKWY",
"city": "LITTLE ELM",
"state": "TX",
"postal_code": "750685999",
"telephone_number": "972-987-0458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGER",
"first_name": "ETHAN",
"middle_name": "DAVID",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-16",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "AP139837",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "907598",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95034313",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2143855920",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "nppes.cms.hhs.gov/#/",
"affiliation": "N",
"address_1": "2700 E Eldorado Pkwy",
"city": "Little Elm",
"state": "TX",
"country_code": "US",
"postal_code": "750685999",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Little Elm, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.