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CHARLSIE FERGUSON GILLCOAT ACNP-BC
NPI 1629246574
Nurse Practitioner - Primary Care in Longview, TX

Active since February 13, 2008PECOS EnrolledAccepts Medicare Assignment
2828 4TH ST STE 100, LONGVIEW, TX 75605(903) 903-0903(903) 765-4437 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2026, Nov 23, 2025, Apr 5, 2025 and 5 more (8 updates tracked since 2017).

About Charlsie Ferguson Gillcoat Acnp-bc NPPES

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

CHARLSIE FERGUSON GILLCOAT ACNP-BC (NPI 1629246574) is an individual primary care provider in Longview, Texas, licensed in Texas (AP116578) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1629246574
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameCHARLSIE FERGUSON GILLCOATCredential: ACNP-BC
Location Address2828 4TH ST STE 100Longview, TX 75605-5712
Mailing Address2828 4th St Ste 100Longview, TX 75605-5712 · (903) 903-0903 · Fax (903) 765-4437
Phone(903) 903-0903
Fax(903) 765-4437
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateFebruary 13, 2008
Last NPPES UpdateApril 15, 20268 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1629246574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in TX · AP116578
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP116578 (TX)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License AP116578 (TX)
2828 4TH ST STE 100, Longview, TX 75605
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Other Names 1

Former Name (1)Charlsie Elizabeth Ferguson / Phillips Acnp-bc

Other Identifiers 1

Medicaid193683302TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Charlsie Ferguson Gillcoat Acnp-bc 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 ID3072683994
PECOS Enrollment IDI20080604000591
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 75605 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers22 claims22 services$90.43 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$33.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Charlsie Gillcoat's NPI number?

The NPI number for Charlsie Gillcoat is 1629246574. It was assigned to this individual provider in the NPPES registry on February 13, 2008. The provider is also known as Charlsie Elizabeth Ferguson / Phillips Acnp-Bc.

Where is Charlsie Gillcoat located?

Charlsie Gillcoat practices at 2828 4th St Ste 100, Longview, TX 75605. The listed phone number is (903) 903-0903.

What is Charlsie Gillcoat's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Charlsie Gillcoat enrolled in Medicare?

Yes. Charlsie Gillcoat 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.

What insurance does Charlsie Gillcoat accept?

Health plans from Blue Cross and Blue Shield of Texas list Charlsie Gillcoat 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 Charlsie Gillcoat was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.