WENDY WYNETTE GAMMON FNP
NPI 1669848156
Nurse Practitioner - Family in Texarkana, AR

Q: What is Wendy Gammon's NPI number?

The NPI number for Wendy Gammon is 1669848156. It was assigned to this individual provider in the NPPES registry on August 19, 2015.

Q: What is Wendy Gammon'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 Wendy Gammon was last updated on September 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 August 19, 2015PECOS EnrolledAccepts Medicare Assignment

1305 ARKANSAS BLVD STE 104, TEXARKANA, AR 71854(870) 648-1305(870) 648-1306 Get Directions Write a Review

NPPES record last updated: September 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2021, Aug 19, 2021, Nov 4, 2019 and 2 more (5 updates tracked since 2018).

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About Wendy Wynette Gammon Fnp NPPES

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

WENDY WYNETTE GAMMON FNP (NPI 1669848156) is an individual family provider in Texarkana, Arkansas, licensed in Arkansas (A005928) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Christus St Michael Health System, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1669848156

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameWENDY WYNETTE GAMMONCredential: FNP

Location Address1305 ARKANSAS BLVD STE 104Texarkana, AR 71854-1691

Mailing AddressPo Box 295Lockesburg, AR 71846-0295 · (870) 289-5865 · Fax (870) 289-4594

Phone(870) 648-1305

Fax(870) 648-1306

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 19, 2015

Last NPPES UpdateSeptember 6, 20215 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2021

✔ NPI 1669848156 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

Licenses✔ Licensed in AR · A005928✔ Licensed in TX · AP128853

1305 ARKANSAS BLVD STE 104, Texarkana, AR 71854

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Other Identifiers 1

Medicaid225050758AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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

Wendy Wynette Gammon Fnp 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 ID1759671282

PECOS Enrollment IDI20181128002009

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 4

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

132 services72 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

29 services17 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

24 services24 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Christus St Michael Health System

Acute Care Hospitals · Texarkana, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450801

Location2600 St Michael DrTexarkana, TX 75503 · Bowie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71854 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

Other Providers at the Same Location NPPES 5

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

GAMMON HEALTHCARE SOLUTIONS PLLC

Nurse Practitioner (Family)