GWENDOLYN MATHIS DNP-APRN
NPI 1194183137
Nurse Practitioner - Family in Grand Prairie, TX
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 and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 4
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Gwendolyn Mathis Dnp-aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
10Medicare enrollment records show Gwendolyn Mathis reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mansfield, TX 76063
- Reassigned Medicare billing, Texas enrollment
- 994 clinicians in this Medicare group
Sunnyvale, TX 75182
- Reassigned Medicare billing, Texas enrollment
- 44 clinicians in this Medicare group
Round Rock, TX 78664
- Reassigned Medicare billing, Texas enrollment
- 493 clinicians in this Medicare group
Spring, TX 77373
- Reassigned Medicare billing, Texas enrollment
- 238 clinicians in this Medicare group
Dyersburg, TN 38024
- Reassigned Medicare billing, Tennessee enrollment
- 256 clinicians in this Medicare group
Brentwood, TN 37027
- Reassigned Medicare billing, Mississippi and Tennessee enrollments
- 65 clinicians in this Medicare group
Nashville, TN 37215
- Reassigned Medicare billing, Tennessee enrollment
- 123 clinicians in this Medicare group
Murfreesboro, TN 37129
- Reassigned Medicare billing, Tennessee enrollment
- 310 clinicians in this Medicare group
Tucson, AZ 85716
- Reassigned Medicare billing, Arizona enrollment
- 58 clinicians in this Medicare group
Mesa, AZ 85206
- Reassigned Medicare billing, Arizona enrollment
- 99 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Gwendolyn Mathis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gwendolyn Mathis reassigns Medicare benefits to 10 organizations: Lonestar Hospital Medicine Associates, PA (Mansfield, TX), Ray Hubbard Emergency Physicians PLLC (Sunnyvale, TX), Minuteclinic Diagnostic Of Texas PLLC (Round Rock, TX), Minuteclinic Primary Care Texas PLLC (Spring, TX), T M Carr MD PC (Dyersburg, TN) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gwendolyn Mathis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gwendolyn Mathis accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 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 6 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.
# Gwendolyn Mathis, DNP-APRN · NPI 1194183137
Family physician in Grand Prairie, Texas. Individual provider, active in the CMS NPPES registry since February 5, 2016.
## Identity
- **NPI:** 1194183137 (Entity type: Individual)
- **Enumerated:** February 5, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1142764 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4203 S CARRIER PKWY, Grand Prairie, TX 75052-3203
- **Phone:** (802) 287-6030
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Lonestar Hospital Medicine Associates, PA (NPI 1518237429, Mansfield, TX); Ray Hubbard Emergency Physicians PLLC (NPI 1629145362, Sunnyvale, TX); Minuteclinic Diagnostic Of Texas PLLC (NPI 1609076330, Round Rock, TX); Minuteclinic Primary Care Texas PLLC (NPI 1710794292, Spring, TX); T M Carr MD PC (NPI 1992706097, Dyersburg, TN); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** April 6, 2026
- **Other identifiers:** Medicaid 093249 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1194183137) · Data from the CMS NPPES public registry.