THE903NP
NPI 1669299889
Nurse Practitioner - Primary Care in Longview, TX

Active since September 20, 2024
2828 4TH ST # 100, LONGVIEW, TX 75605(903) 903-0903(903) 213-9045 Get Directions Write a Review

NPPES record last updated: November 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 23, 2025, Sep 20, 2024 (2 updates tracked since 2024).

About The903np NPPES

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

THE903NP (NPI 1669299889) is a healthcare organization registered as a primary care in Longview, Texas and active in the NPI registry since September 2024. The organization lists Charlsie Ferguson Gillcoat, Ceo / Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1669299889
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameTHE903NP
Location Address2828 4TH ST # 100Longview, TX 75605-5718
Mailing Address2828 4th St # 100Longview, TX 75605-5718 · (903) 903-0903 · Fax (903) 213-9045
Fax(903) 213-9045
Organization SubpartNo
Authorized OfficialCharlsie Ferguson GillcoatCeo / Nurse Practitioner · (903) 903-0903
Enumeration DateSeptember 20, 2024
Last NPPES UpdateNovember 23, 20252 updates tracked since enumeration
NPPES CertifiedNovember 23, 2025
✔ NPI 1669299889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
2828 4TH ST # 100, Longview, TX 75605

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The903np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to The903np, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1629246574
2828 4TH ST STE 100
Longview, TX 75605
(903) 903-0903
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 The903np's NPI number?

The NPI number for The903np is 1669299889. It was assigned to this organization in the NPPES registry on September 20, 2024.

Where is The903np located?

The903np is located at 2828 4th St # 100, Longview, TX 75605. The listed phone number is (903) 903-0903.

What is The903np's specialty?

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

Is The903np enrolled in Medicare?

Yes. The903np is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The903np?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to The903np. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does The903np accept?

Health plans from Blue Cross and Blue Shield of Texas list The903np 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 The903np was last updated on November 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.