Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charlsie Ferguson Gillcoat, ACNP-BC

Individual provider Primary Care Nurse Practitioner · NPI 1629246574

Charlsie Ferguson Gillcoat, ACNP-BC is a Nurse Practitioner in Longview, Texas. Qualified in 2007, 19 years ago. Accepts Medicare assignment. Licensed in Texas.

Years since qualifying
19
Licensed in
TX
In the registry since
2008
Specialties on file
3

Practice location Address checks out

2828 4th St Ste 100
Longview, TX 75605-5712
Phone: (903) 903-0903
Fax: (903) 765-4437
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence AP116578 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence AP116578 (TX)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence AP116578 (TX)

Record details

NPI number1629246574
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP-BC
Sole proprietorNo
NPI enumeratedFebruary 13, 2008
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Longview