DEBRA SUE MAHONEY FNP
NPI 1265619241
Nurse Practitioner - Family in Gladewater, TX

Q: What is Debra Mahoney's NPI number?

The NPI number for Debra Mahoney is 1265619241. It was assigned to this individual provider in the NPPES registry on January 22, 2008.

Q: What is Debra Mahoney's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Debra Mahoney was last updated on June 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.

Active since January 22, 2008PECOS Enrolled

1600 BROADWAY AVE, GLADEWATER, TX 75647(903) 315-5630(903) 845-6212 Get Directions Write a Review

NPPES record last updated: June 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Debra Sue Mahoney Fnp NPPES

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

DEBRA SUE MAHONEY FNP (NPI 1265619241) is an individual family provider in Gladewater, Texas, licensed in Texas (AP109268) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265619241

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDEBRA SUE MAHONEYCredential: FNP

Location Address1600 BROADWAY AVEGladewater, TX 75647-5040

Mailing AddressPo Box 4207Longview, TX 75606-4207 · (903) 315-4105

Phone(903) 315-5630

Fax(903) 845-6212

Sole ProprietorNo

Enumeration DateJanuary 22, 2008

Last NPPES UpdateJune 17, 2016

✔ NPI 1265619241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · AP109268

1600 BROADWAY AVE, Gladewater, TX 75647

Open in Google Maps ↗

Other Identifiers 1

Medicare UPINS69511TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Debra Sue Mahoney Fnp 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 75647 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 7

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

KENNETH H. SKIPPER MD

General Practice