Individual provider Active NPI

Anthony Carey Podbielski, FNP-C

  • Family Nurse Practitioner
  • Gatesville, TX
National Provider Identifier
1861162265
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1054562 Issued in TX
Practice address
1507 W Main St
Gatesville, TX 76528-1024
Phone
(254) 865-2166
Fax
(254) 248-0626
NPI assigned
Sep 16, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1054562 TX Primary

Addresses

Primary practice location

1507 W Main St
Gatesville, TX 76528-1024

Mailing address

1507 W Main St
Gatesville, TX 76528-1024
Phone (254) 865-2166

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address apodbielski@ch.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20211116001480 TX Practitioner - Nurse Practitioner 3678962404 Reassigns benefits to 2 organizations
I20251103000721 OK Practitioner - Nurse Practitioner 3678962404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4835 LBJ Fwy
Suite 900
Dallas, TX 75244

8 Oak Park Dr
Bedford, MA 01730-1414

PO Box
Indianapolis, IN 46206

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Century Integrated Partners, Inc CurrentSince May 1, 2024 Accepting new patients
Coryell County Memorial Hospital Authority Current Accepting new patients
Coryell County Memorial Hospital Authority CurrentSince Sep 15, 2021 Accepting new patients
Ies ER Oklahoma LLC CurrentSince Oct 1, 2025 Accepting new patients
Coryell County Memorial Hospital Authority CurrentSince Sep 15, 2021 Accepting new patients
Providence Health Alliance Past Accepting new patients

Locations

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

3500 Gaston Ave
Dallas, TX 75246

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

1507 W Main St
Gatesville, TX 76528
Phone (254) 865-8251

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

100 Hillcrest Medical Blvd
Waco, TX 76712
Phone (254) 202-2000

Interoperability endpoints

  • Direct secure messaging: apodbielski@cmhs.securechart.com
  • Direct secure messaging: anthony.podbielski.1@8363.direct.athenahealth.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": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1861162265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 W MAIN ST",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765281024",
            "telephone_number": "254-865-2166",
            "fax_number": "254-248-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 W MAIN ST",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765281024",
            "telephone_number": "254-865-2166",
            "fax_number": "254-248-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODBIELSKI",
        "first_name": "ANTHONY",
        "middle_name": "CAREY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-16",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1054562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apodbielski@ch.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Coryell Health Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1507 W Main St",
            "city": "Gatesville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765281024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gatesville, TX

Sources for this page

Verify at the official NPI Registry.