Active NPI 1629246574 Individual Practitioner Female Practitioner

Charlsie Ferguson Gillcoat , ACNP-BC

Nurse Practitioner - Primary Care • Longview, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Charlsie Gillcoat, ACNP-BC is a certified Nurse Practitioner - Primary Care practicing in Longview, TX. With approximately 19 years of clinical experience since completing medical education in 2007, Charlsie Gillcoat delivers high-quality medical care to the local community at 2828 4TH ST STE 100.

Charlsie Gillcoat accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, blood test, comprehensive group of blood chemicals, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2828 4th St Ste 100

Longview, TX 756055712

Telephone 9039030903

Fax 9037654437

Associated Practice Facility / Clinic

🏢 The903np Facility NPI 1669299889

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Primary Care in Longview, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs +9.8 yrs vs City Avg

City Avg: 9.2 Yrs

State Avg: 7.1 Yrs

Regional Practice Density

8 Specialists

Practicing in Longview, TX (828 Statewide)

Telehealth Adoption Rate

37.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gillcoat (19 Years) 19 Yrs

Longview Specialty Average (9.2 Years) 9.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	20	20	$20.00	$3.00
80053 Blood test, comprehensive group of blood chemicals	19	19	$64.00	$10.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$368.00	$108.03
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	17	17	$36.00	$7.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	463	169	$20.00	$2.98
80053 Blood test, comprehensive group of blood chemicals	419	157	$64.00	$10.48
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	399	158	$36.00	$7.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	348	143	$368.00	$89.52
99213 Established patient office or other outpatient visit, typically 15 minutes	223	134	$250.00	$61.78
85055 Reticulated (young) platelet measurement	58	29	$143.00	$35.43
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	57	28	$34.00	$6.40
85007 Microscopic examination for white blood cells with manual cell count	57	28	$22.00	$3.76
84443 Blood test, thyroid stimulating hormone (TSH)	54	32	$80.00	$16.67
83735 Magnesium level	54	30	$29.00	$6.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	34	$496.00	$120.55
82728 Ferritin (blood protein) level	35	26	$60.00	$13.58
83550 Iron binding capacity	32	24	$35.00	$8.70
83540 Iron level	32	24	$27.00	$6.44
84436 Thyroxine (thyroid chemical), total	26	20	$32.00	$6.82
80048 Blood test, basic group of blood chemicals (calcium, total)	16	16	$49.00	$8.38
83615 Lactate dehydrogenase (enzyme) level	14	11	$31.00	$6.00
82607 Cyanocobalamin (vitamin B-12) level	14	14	$76.00	$15.04
82746 Folic acid level	14	14	$73.00	$14.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	412	193	$20.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	411	217	$250.00	$61.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	390	180	$368.00	$89.66
80053 Blood test, comprehensive group of blood chemicals	335	166	$64.00	$11.51
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	304	165	$36.00	$8.46
85007 Microscopic examination for white blood cells with manual cell count	65	37	$22.00	$3.74
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	65	37	$34.00	$7.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	61	53	$496.00	$118.80
83735 Magnesium level	51	29	$29.00	$7.29
82728 Ferritin (blood protein) level	38	32	$60.00	$14.57
85055 Reticulated (young) platelet measurement	38	18	$143.00	$35.03
85610 Blood test, clotting time	36	11	$30.00	$4.28
83550 Iron binding capacity	31	26	$35.00	$9.52
83540 Iron level	31	26	$27.00	$7.05
84443 Blood test, thyroid stimulating hormone (TSH)	26	21	$80.00	$18.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	17	$150.00	$37.01
86300 Immunologic analysis for detection of tumor antigen, quantitative; ca 15-3	20	17	$128.00	$22.67
82607 Cyanocobalamin (vitamin B-12) level	19	17	$76.00	$16.41
82746 Folic acid level	18	16	$73.00	$16.01
81000 Manual urinalysis test with examination using microscope, non-automated	14	13	$26.00	$3.94
80048 Blood test, basic group of blood chemicals (calcium, total)	13	11	$49.00	$9.21
82378 Carcinoembryonic antigen (cea) protein level	13	11	$99.00	$20.65
84479 Thyroid hormone evaluation	12	11	$30.00	$7.04
84436 Thyroxine (thyroid chemical), total	12	11	$32.00	$7.48
71046 X-ray of chest, 2 views	11	11	$61.00	$19.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	194	189	$1523.00	$143.77
99213 Established patient office or other outpatient visit, typically 15 minutes	83	54	$250.00	$59.70
99284 Emergency department visit with moderate level of medical decision making	36	36	$1029.00	$97.65
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	33	21	$119.00	$57.43
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	30	19	$164.00	$75.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	25	$368.00	$88.24
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	25	19	$119.00	$57.88
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	22	20	$189.00	$112.86
36415 Insertion of needle into vein for collection of blood sample	19	17	$20.00	$2.94
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	18	12	$164.00	$76.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$496.00	$119.09
80053 Blood test, comprehensive group of blood chemicals	14	13	$64.00	$12.78
99283 Emergency department visit with low level of medical decision making	13	13	$541.00	$51.54
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	12	11	$36.00	$9.40
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	12	12	$56.00	$7.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	46	26	$164.00	$74.89
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	45	39	$189.00	$111.52
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	30	21	$119.00	$56.57
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	29	20	$164.00	$74.89
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	26	18	$119.00	$56.57
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$207.35	$59.34
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	15	12	$189.00	$111.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$312.00	$87.58
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$50.57	$13.58

Medical Specialties & State Licenses

CMS Verified: 2026-04-15

Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

State License TX AP116578

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License TX AP116578

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License TX AP116578

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

193683302 (TX)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

27 Historical Events

📍

Updated Practice Location April 15, 2026

Registered at 2828 4TH ST STE 100, LONGVIEW, TX 756055712 (Tel: 9039030903)

📍

Updated Business Mailing Address April 15, 2026

Registered at 2828 4TH ST STE 100, LONGVIEW, TX 756055712 (Tel: 9039030903)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2026

Nurse Practitioner (License #AP116578 in TX)

📍

Updated Practice Location November 23, 2025

Registered at 2828 4TH ST # 100, LONGVIEW, TX 756055718 (Tel: 9039030903)

📍

Updated Business Mailing Address November 23, 2025

Registered at 2828 4TH ST # 100, LONGVIEW, TX 756055718 (Tel: 9039030903)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2025

Nurse Practitioner (License #AP116578 in TX)

📍

Updated Practice Location April 05, 2025

Registered at 2221 H G MOSLEY PKWY STE 101, LONGVIEW, TX 756043670 (Tel: 9039030903)

📍

Updated Business Mailing Address April 05, 2025

Registered at 2221 H G MOSLEY PKWY STE 101, LONGVIEW, TX 756043670 (Tel: 9039030903)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2025

Nurse Practitioner (License #AP116578 in TX)

📍

Updated Practice Location February 26, 2023

Registered at 505 N 6TH ST, LONGVIEW, TX 756016604 (Tel: 9035015056)

📍

Updated Business Mailing Address February 26, 2023

Registered at 505 N 6TH ST, LONGVIEW, TX 756016604 (Tel: 9035015056)

📍

Updated Practice Location September 14, 2021

Registered at 700 E MARSHALL AVE, LONGVIEW, TX 756015580 (Tel: 9033151488)

📍

Updated Practice Location June 24, 2021

Registered at 707 HOLLYBROOK DR STE 200, LONGVIEW, TX 756052410 (Tel: 9032916191)

📍

Updated Business Mailing Address June 24, 2021

Registered at 707 HOLLYBROOK DR STE 200, LONGVIEW, TX 756052410 (Tel: 9032916191)

📍

Updated Practice Location October 08, 2018

Registered at 1300 N 4TH ST, LONGVIEW, TX 756014717 (Tel: 9037572122)

📍

Updated Business Mailing Address October 08, 2018

Registered at PO BOX 911230, DALLAS, TX 753911230 (Tel: 9729978000)

✅

NPI Profile Active October 17, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location October 17, 2017

Registered at 703 E MARSHALL AVE, SUITE 5008, LONGVIEW, TX 756015500 (Tel: 9033154880)

📍

Updated Business Mailing Address October 17, 2017

Registered at PO BOX 4207, LONGVIEW, TX 756064207 (Tel: 9033154880)

👤

Provider Name / Credentials Updated October 17, 2017

Recorded as CHARLSIE GILLCOAT, ACNP-BC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2017

Nurse Practitioner (License #AP116578 in TX)

✅

NPI Profile Active October 21, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 21, 2014

Registered at 703 E MARSHALL AVE, SUITE 5008, LONGVIEW, TX 756015500 (Tel: 9033154880)

📍

Updated Business Mailing Address October 21, 2014

Registered at PO BOX 4207, LONGVIEW, TX 756064207 (Tel: 9033154880)

👤

Provider Name / Credentials Updated October 21, 2014

Recorded as CHARLSIE FERGUSON, ACNP-BC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2014

Nurse Practitioner (License #AP116578 in TX)

🟢

Initial NPI Registration & Enumeration February 13, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629246574

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 13, 2008

Last Update: April 15, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2828 4th St Ste 100

Longview, TX 756055712

Phone: 9039030903

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.