Gillian A Abang
Individual provider Active NPI Nurse Practitioner · Killeen, TX
NPI 1861974487 · NPPES record last updated Oct 8, 2024
Key facts
- NPI
- 1861974487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 1176637 (TX)
- Practice address
- 2117 Schwald Rd
Killeen, TX 76543-5992 - Phone
- (254) 669-1606
- NPI assigned
- Aug 30, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healing Partners Plus PLLC
Practice addresses (Care Compare)
4500 Mercantile Plaza Dr
Suite 300
Fort Worth, TX 76137-4206
Phone (888) 402-0202
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241018000956 | TX | Practitioner - Nurse Practitioner | 3577095207 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 967653 | TX | MD | Registered Nurse |
| 343492 | TX | MD | Licensed Vocational Nurse |
| 1176637 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Partners Plus PLLC | Current |
Accepting new patients | |
| Consonant Healing Associates of de LLC | Nurse Practitioner | Current |
Accepting new patients |
Locations
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533
12830 Hillcrest Rd
Ste 111
Dallas, TX 75230
Phone (972) 964-9087
2416 NW 18th St
Ft Worth, TX 76106
Phone (817) 626-5454
4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501
10851 Crescent Moon Dr
Houston, TX 77064
Phone (281) 890-0171
8223 Broadway
San Antonio, TX 78209
Phone (210) 828-0606
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 967653 | TX | |
| Licensed Vocational Nurse | 164X00000X | 343492 | TX | |
| Nurse Practitioner | 363L00000X | 1176637 | TX | Yes |
Addresses
Primary practice location
2117 Schwald Rd
Killeen, TX 76543-5992
Mailing address
2117 Schwald Rd
Killeen, TX 76543-5992
Phone (254) 669-1606
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.