MRS. GWENDOLINE MBAKU FNP
NPI 1447624853
Nurse Practitioner - Family in Dallas, TX

Q: What is Gwendoline Mbaku's NPI number?

The NPI number for Gwendoline Mbaku is 1447624853. It was assigned to this individual provider in the NPPES registry on November 23, 2015.

Q: What is Gwendoline Mbaku'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 Gwendoline Mbaku was last updated on October 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 November 23, 2015PECOS Enrolled

3133 E LEMMON AVE, DALLAS, TX 75204(866) 389-2727(401) 216-3854 Get Directions Write a Review

NPPES record last updated: October 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 29, 2016, Nov 23, 2015 (2 updates tracked since 2015).

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About Mrs. Gwendoline Mbaku Fnp NPPES

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

MRS. GWENDOLINE MBAKU FNP (NPI 1447624853) is an individual family provider in Dallas, Texas, licensed in Texas (AP129670) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447624853

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. GWENDOLINE MBAKUCredential: FNP

Location Address3133 E LEMMON AVEDallas, TX 75204-1411

Mailing Address15175 Palo Pinto DrFrisco, TX 75035-5556 · (214) 682-5236

Phone(866) 389-2727

Fax(401) 216-3854

Sole ProprietorNo

Enumeration DateNovember 23, 2015

Last NPPES UpdateOctober 7, 20162 updates tracked since enumeration

✔ NPI 1447624853 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 · AP129670

3133 E LEMMON AVE, Dallas, TX 75204

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Other Identifiers 2

Medicaid3567679TX

Medicare PIN470263ZHSB

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Gwendoline Mbaku 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 75204 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.

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Other Providers at the Same Location NPPES 20

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

ROSHNI A MAPARA

Pharmacist