Individual provider Active NPI

Ethan David Gager, NP

  • Family Nurse Practitioner
  • Little Elm, TX
National Provider Identifier
1528618121
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95034313 Issued in CA
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

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2143855920MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL nppes.cms.hhs.gov/#/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, UT, WA, CA, MS5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20191115002305 TX Practitioner - Nurse Practitioner 6800228685 Reassigns benefits to 1 organization
I20210218002823 UT Practitioner - Nurse Practitioner 6800228685 Reassigns benefits to 1 organization
I20230921002217 WA Practitioner - Nurse Practitioner 6800228685 Reassigns benefits to 1 organization
I20250717001345 CA Practitioner - Nurse Practitioner 6800228685 Reassigns benefits to 2 organizations
I20250728003507 MS Practitioner - Nurse Practitioner 6800228685 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
907598MSMDFamily Nurse Practitioner
AP139837TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Healthcare of Utah Inc Family CurrentSince Feb 22, 2021 Accepting new patients
Molina Healthcare of California CurrentSince Jul 3, 2025 Accepting new patients
Molina Healthcare of Washington, Inc CurrentSince Sep 7, 2023 Accepting new patients
Molina Healthcare of Washington, Inc Current Accepting new patients
Central Health Plan of California, Inc. CurrentSince Jul 3, 2025 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

  • FHIR API: https://epicproxy.et1057.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.