Justin David Gellner, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP139095 Issued in TX

Practice address

310 W Alameda St
Iowa Park, TX 76367-1600

Phone

(940) 592-4141

NPI assigned

Oct 1, 2018

Last updated

Aug 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Electra Hospital District

  dba Electra Memorial Hospital CRNA

  • Family Nurse Practitioner
  • Electra, TX
  • NPI 1417051806
  Medicare reassignment NPD
• Electra Hospital District

  dba Electra Memorial Hospital

  • Critical Access Hospital
  • Electra, TX
  • NPI 1871583153
  Medicare reassignment NPD
• Little Black Bag House Calls LLC

  • General Practice Physician
  • Wichita Falls, TX
  • NPI 1376078881
  Medicare reassignment NPD
• Electra Hospital District

  • Emergency Medicine Physician
  • Electra, TX
  • NPI 1326142712
  NPD
• Electra Hospital District

  dba Goldsmith's Drug

  • Community/Retail Pharmacy
  • Electra, TX
  • NPI 1699867853
  NPD
• Electra Hospital District

  dba Park Clinic

  • Rural Health Clinic/Center
  • Iowa Park, TX
  • NPI 1346805348
  NPD (past)
• Electra Hospital District

  dba Electra Memorial Hospital Home Health

  • Home Health Agency
  • Electra, TX
  • NPI 1417947706
  NPD (past)

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1982189452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 INDIANA AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763016719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W ALAMEDA ST",
            "city": "IOWA PARK",
            "state": "TX",
            "postal_code": "763671600",
            "telephone_number": "940-592-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLNER",
        "first_name": "JUSTIN",
        "middle_name": "DAVID",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Electra Hospital District (Iowa Park Pharmacy)
• Electra Hospital District (Park Clinic)
• Electra Hospital District (Iowa Park Clinic)
• Laura Christine Faiai
• Sarah Fulfer, LPC
• Staci Nicole Gonzales
• Beau Ashley Gray, CSFA
• Guardian Health Systems Iowa Park
• Corrie Gulley, CPNP-PC
• Paula Kaye Harley, LBSW-IPR

• Family Nurse Practitioner in Iowa Park, TX
• Providers in Iowa Park, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.