NICHOLE GUDGEON PA-C
NPI 1508316647
Physician Assistant in Killeen, TX

Q: What is Nichole Gudgeon's NPI number?

The NPI number for Nichole Gudgeon is 1508316647. It was assigned to this individual provider in the NPPES registry on October 13, 2016.

Q: What is Nichole Gudgeon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Nichole Gudgeon was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 October 13, 2016PECOS EnrolledAccepts Medicare Assignment

3801 SCOTT AND WHITE DR, KILLEEN, TX 76543(254) 680-1100 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2023, Jul 29, 2020, May 20, 2019 and 2 more (5 updates tracked since 2016).

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About Nichole Gudgeon Pa-c NPPES

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

NICHOLE GUDGEON PA-C (NPI 1508316647) is an individual physician assistant in Killeen, Texas, licensed in Texas (PA13699) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Temple, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1508316647

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameNICHOLE GUDGEONCredential: PA-C

Location Address3801 SCOTT AND WHITE DRKilleen, TX 76543-5252

Mailing AddressPo Box 844658Dallas, TX 75284-4658

Phone(254) 680-1100

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateOctober 13, 2016

Last NPPES UpdateMay 10, 20235 updates tracked since enumeration

NPPES CertifiedMay 10, 2023

✔ NPI 1508316647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in TX · PA13699✔ Licensed in SC · 2613✔ Licensed in MO · 2018004237✔ Licensed in AZ · 7448

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3801 SCOTT AND WHITE DR, Killeen, TX 76543

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Secondary Practice Locations 3

Location 1608 Old Route 66Saint Robert, MO 65584-3730 · Phone (573) 336-5100

Location 2900 N Austin Ave Ste 105Georgetown, TX 78626-4349 · Phone (512) 930-7828

Location 3535 E McKellips Rd Ste 101Mesa, AZ 85203 · Phone (480) 844-7400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nichole Gudgeon Pa-c 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.

PECOS PAC ID4587941463

PECOS Enrollment IDI20200717000080

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

325 services303 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450054

Location2401 S 31st StTemple, TX 76508 · Bell County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76543 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

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

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 20

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

DR. W MICHAEL AVERITT D.O.

Family Medicine