CHARLSIE FERGUSON GILLCOAT ACNP-BC
NPI 1629246574
Nurse Practitioner - Primary Care in Longview, TX
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
Specialties & Licenses 3
Other Names 1
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Charlsie Gillcoat reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Longview, TX 75605
- Reassigned Medicare billing, Texas enrollment
Longview, TX 75605
- Reassigned Medicare billing, Texas enrollment
- 5 clinicians in this Medicare group
Tyler, TX 75702
- Reassigned Medicare billing, Texas enrollment
- 2,745 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 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.
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.
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.
Which organizations bill Medicare for Charlsie Gillcoat's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charlsie Gillcoat reassigns Medicare benefits to 3 organizations: The903np (Longview, TX), The Cameron Clinic PLLC (Longview, TX) and Christus Trinity Clinic Texas (Tyler, TX). 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 Charlsie Gillcoat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 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.
# Charlsie Ferguson Gillcoat, ACNP-BC · NPI 1629246574
Primary Care physician in Longview, Texas. Individual provider, active in the CMS NPPES registry since February 13, 2008.
## Identity
- **NPI:** 1629246574 (Entity type: Individual)
- **Enumerated:** February 13, 2008
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** AP116578 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2828 4TH ST STE 100, Longview, TX 75605-5712
- **Phone:** (903) 903-0903 · **Fax:** (903) 765-4437
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): The903np (NPI 1669299889, Longview, TX); The Cameron Clinic PLLC (NPI 1447915277, Longview, TX); Christus Trinity Clinic Texas (NPI 1285684225, Tyler, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** April 15, 2026
- **Other identifiers:** Medicaid 193683302 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1629246574) · Data from the CMS NPPES public registry.