Individual provider Active NPI

Gaelle N Moukam

  • Primary Care Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1679401525
Registry record updated Jun 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1233334 Issued in TX
Practice address
2907 Medlin Dr # 101
Arlington, TX 76015-2330
Phone
(817) 265-5200
NPI assigned
May 11, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1233334 TX Primary

Addresses

Primary practice location

2907 Medlin Dr # 101
Arlington, TX 76015-2330

Mailing address

223 Amber Ridge Dr
Arlington, TX 76002-3310
Phone (806) 317-6056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
World Medical Group PLLCGroup PAC ID 9830312172, shared by 2 NPIs, 4 clinicians

Practice addresses (Care Compare)

2907 Medlin Dr
Arlington, TX 76015-2330
Phone (817) 263-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1233334TXMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781395200000",
    "number": "1679401525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 AMBER RIDGE DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760023310",
            "telephone_number": "806-317-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 MEDLIN DR # 101",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152330",
            "telephone_number": "817-265-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUKAM",
        "first_name": "GAELLE",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-06-14",
        "certification_date": "2026-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1233334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.