GWENDOLYN MATHIS DNP-APRN
NPI 1194183137
Nurse Practitioner - Family in Grand Prairie, TX

Active since February 05, 2016PECOS Enrolled
4203 S CARRIER PKWY, GRAND PRAIRIE, TX 75052(802) 287-6030 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2026, Mar 17, 2026, Feb 18, 2025 and 6 more (9 updates tracked since 2016).

About Gwendolyn Mathis Dnp-aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWENDOLYN MATHIS DNP-APRN (NPI 1194183137) is an individual family provider in Grand Prairie, Texas, licensed in Texas (1142764) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194183137
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGWENDOLYN MATHISCredential: DNP-APRN
Location Address4203 S CARRIER PKWYGrand Prairie, TX 75052-3203
Mailing Address4203 S Carrier PkwyGrand Prairie, TX 75052-3203 · (972) 642-9710
Sole ProprietorYes
Enumeration DateFebruary 5, 2016
Last NPPES UpdateApril 6, 20269 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
NPI 1194183137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in TX · 1142764 Licensed in TN · 20988
Also ListedNurse PractitionerTaxonomy 363L00000X · License 20988 (TN)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 20988 (TN), 249010 (AZ), 834633 (NY)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License F0116574 (TN)
4203 S CARRIER PKWY, Grand Prairie, TX 75052

Other Identifiers 1

Medicaid093249AZ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Gwendolyn Mathis Dnp-aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
4203 S CARRIER PKWY
GRAND PRAIRIE, TX 75052
Nurse Practitioner (Family)
4203 S CARRIER PKWY
GRAND PRAIRIE, TX 75052
Nurse Practitioner (Family)
4203 S CARRIER PKWY
GRAND PRAIRIE, TX 75052
Pharmacist
4203 S CARRIER PKWY
GRAND PRAIRIE, TX 75052
Nurse Practitioner (Family)
4203 S CARRIER PKWY
GRAND PRAIRIE, TX 75052
Nurse Practitioner (Family)
4203 S CARRIER PKWY
GRAND PRAIRIE, TX 75052
Nurse Practitioner (Family)
4203 S CARRIER PKWY
GRAND PRAIRIE, TX 75052
Pharmacy
4203 S CARRIER PKWY
GRAND PRAIRIE, TX 75052

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwendolyn Mathis's NPI number?

The NPI number for Gwendolyn Mathis is 1194183137. It was assigned to this individual provider in the NPPES registry on February 5, 2016.

Where is Gwendolyn Mathis located?

Gwendolyn Mathis practices at 4203 S Carrier Pkwy, Grand Prairie, TX 75052. The listed phone number is (802) 287-6030.

What is Gwendolyn Mathis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Gwendolyn Mathis enrolled in Medicare?

Yes. Gwendolyn Mathis is registered in the Medicare PECOS enrollment system.

What insurance does Gwendolyn Mathis accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and Oscar Health Plan, Inc. and 2 other insurers list Gwendolyn Mathis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gwendolyn Mathis was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.