MRS. GWLADYS PEACE NDEFFO KENGNE FNP
NPI 1730869975
Nurse Practitioner - Family in Killeen, TX

Active since July 21, 2023PECOS EnrolledAccepts Medicare Assignment
4102 CLEAR CREEK RD STE 107, KILLEEN, TX 76549(254) 466-0670 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Gwladys Peace Ndeffo Kengne Fnp NPPES

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

MRS. GWLADYS PEACE NDEFFO KENGNE FNP (NPI 1730869975) is an individual family provider in Killeen, Texas, licensed in Texas (1112752) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1730869975
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. GWLADYS PEACE NDEFFO KENGNECredential: FNP
Location Address4102 CLEAR CREEK RD STE 107Killeen, TX 76549-5954
Mailing Address4102 Clear Creek Rd Ste 107Killeen, TX 76549-5954 · (254) 466-0670
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 21, 2023
NPPES CertifiedJuly 21, 2023
✔ NPI 1730869975 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
License✔ Licensed in TX · 1112752
4102 CLEAR CREEK RD STE 107, Killeen, TX 76549

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

Mrs. Gwladys Peace Ndeffo Kengne 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 ID7214374495
PECOS Enrollment IDI20240322004202
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Gwladys Ndeffo Kengne reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
900 N AUSTIN AVE, STE 105
Georgetown, TX 78626
  • Reassigned Medicare billing, Texas enrollment
  • 241 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Texas enrollment
  • 1,246 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 76549 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.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Pediatrics)
4102 CLEAR CREEK RD STE 107
KILLEEN, TX 76549
Nurse Practitioner (Family)
4102 CLEAR CREEK RD STE 107
KILLEEN, TX 76549
Nurse Practitioner (Pediatrics)
4102 CLEAR CREEK RD STE 107
KILLEEN, TX 76549
Pediatrics
4102 CLEAR CREEK RD STE 107
KILLEEN, TX 76549

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 Gwladys Ndeffo Kengne's NPI number?

The NPI number for Gwladys Ndeffo Kengne is 1730869975. It was assigned to this individual provider in the NPPES registry on July 21, 2023.

Where is Gwladys Ndeffo Kengne located?

Gwladys Ndeffo Kengne practices at 4102 Clear Creek Rd Ste 107, Killeen, TX 76549. The listed phone number is (254) 466-0670.

What is Gwladys Ndeffo Kengne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Gwladys Ndeffo Kengne enrolled in Medicare?

Yes. Gwladys Ndeffo Kengne 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 Gwladys Ndeffo Kengne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gwladys Ndeffo Kengne reassigns Medicare benefits to 2 organizations: Ucp Physicians Of Central Texas, PLLC (Georgetown, TX) and Signify Health Medical Associates, PLLC (Dallas, 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 Gwladys Ndeffo Kengne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gwladys Ndeffo Kengne accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Gwladys Ndeffo Kengne 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 Gwladys Ndeffo Kengne was last updated on July 21, 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.