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

Sex

Male

Sole proprietor

No

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.

• Electra Hospital District

  • Family Nurse Practitioner
  • Electra, TX
  • NPI 1417051806

  Family, TX

  Medicare reassignment NPD
• Electra Hospital District

  • Critical Access Hospital
  • Electra, TX
  • NPI 1871583153

  TX

  Medicare reassignment NPD
• Little Black Bag House Calls LLC

  • General Practice Physician
  • Wichita Falls, TX
  • NPI 1376078881

  TX

  Medicare reassignment NPD
• Electra Hospital District

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

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

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

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

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

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 1, 2023.

{
    "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
• Electra Hospital District
• Electra Hospital District
• 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

• All providers in Iowa Park, TX
• 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.