Individual provider Active NPI

Arselle Nguelebek Gandeu, PA-C

  • Physician Assistant
  • Midland, TX
National Provider Identifier
1881204618
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA16122 Issued in TX
Practice address
3600 N Garfield St
Midland, TX 79705-6329
Phone
(806) 743-3220
NPI assigned
Aug 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA16122 TX Primary

Addresses

Primary practice location

3600 N Garfield St
Midland, TX 79705-6329

Mailing address

631 Lemon Dr
Arlington, TX 76018-1693
Phone (214) 518-4413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241113002541 TX Practitioner - Physician Assistant 9234663204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health Physicians PLLCGroup PAC ID 7810237740, 240 clinicians

Practice addresses (Care Compare)

104 S Main St
Keller, TX 76248-5003
Phone (214) 295-9385

2310 W University Dr
Suite 1500
Denton, TX 76201-1650
Phone (940) 220-5901

2520 W I
Suite 20
Grand Prairie, TX 75052-7280
Phone (972) 264-5858

3020 E Broad St
Suite 100
Mansfield, TX 76063-6696
Phone (682) 282-4014

377 W Campbell Rd
Suite 100
Richardson, TX 75080-3695
Phone (469) 232-2945

4524 W Bailey Boswell Rd
Fort Worth, TX 76179-4319
Phone (817) 720-9685

4844 Greenville Ave
Dallas, TX 75206-4120
Phone (214) 295-9410

5653 McPherson Blvd
Fort Worth, TX 76123-6023
Phone (682) 354-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1881204618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 LEMON DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181693",
            "telephone_number": "214-518-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 N GARFIELD ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797056329",
            "telephone_number": "806-743-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDEU",
        "first_name": "ARSELLE",
        "middle_name": "NGUELEBEK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA16122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.