Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Concepcion Fanous, APRN, FNP-C

Individual provider Family Nurse Practitioner · NPI 1366150260

Mrs. Concepcion Fanous, APRN, FNP-C is a Nurse Practitioner in Tyler, Texas. Qualified in 2024, 2 years ago. Practices with Charles R Gordon MD PA, a 25-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2022
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2737 S Broadway Ave
Tyler, TX 75701-5445
Phone: (903) 592-6000
Fax: (903) 592-3224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1197042 (TX)

Record details

NPI number1366150260
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , FNP-C
Sole proprietorNo
NPI enumeratedNovember 9, 2022
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 2024 (2 years in practice)
Group practice Charles R Gordon Md Pa — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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