MRS. AMANDA GIBSON GAHAN (PA-C) – Physician Assistant, NPI 1104002997

MRS. AMANDA GIBSON GAHAN (PA-C) is a healthcare provider. based in Mckinney, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA05639 (TX). The NPI Number for MRS. AMANDA GIBSON GAHAN (PA-C) is 1104002997

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMANDA GIBSON GAHAN (PA-C)
NPI
1104002997
Phone
(214) 587-5418
Address
8109 LATIGO TRL
Enumeration Date
11 January 2008
Last Update Date
29 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9727337242
Graduation Year
2004 (22 years ago)
PAC ID
2264977115
Group Practice PAC ID
6204185127
Professional Enrollment ID
I20240716000061
Address ID
TX750703590MC7300XPKWY301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for MRS. AMANDA GIBSON GAHAN (PA-C)

  • 8109, Latigo Trail, Craig Ranch North, McKinney, Collin County, Texas, 75070, United States

    MCKINNEY, TX 750706093

    Phone: (214) 587-5418

    Type: Mailing

  • 809, North Central Expressway, McKinney, Collin County, Texas, 75070, United States

    MCKINNEY, TX 750703303

    Phone: (972) 529-4500

    Type: Location

  • 916 HILLS CREEK DRIVE

    MCKINNEY, TX 750726093

    Phone: (214) 587-5418

    Type: Mailing

  • 7300 ELDORADO PKWY STE 225

    MCKINNEY, TX 750703590

    Phone: (972) 893-3376

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $319.

Total Amount is formed as General ($319) + Research ($0) + Ownership ($0) = $319.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Corium, LLC ($137).

Total Amount

$319

General + Research + Ownership

Payments

17

Total payment records

General Amount

$319

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240716000061IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75070)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204185127View full group profile
NameSpecialtyState
Physician AssistantTX
Physician AssistantIL
Nurse PractitionerTX
Internal MedicineTX
Nurse PractitionerTX
Family PracticeTX
Nurse PractitionerTX
Physician AssistantTX
Family PracticeTX

Reviews

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Frequently asked questions

What identifier follows MRS. AMANDA GIBSON GAHAN (PA-C) across health systems?
The NPI 1104002997 uniquely identifies MRS. AMANDA GIBSON GAHAN (PA-C) in U.S. healthcare data.
Is MRS. AMANDA GIBSON GAHAN (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists MRS. AMANDA GIBSON GAHAN (PA-C) as active.
What does the directory say MRS. AMANDA GIBSON GAHAN (PA-C) does?
Insurance directories may phrase it differently, but here MRS. AMANDA GIBSON GAHAN (PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. AMANDA GIBSON GAHAN (PA-C)?
The directory associates MRS. AMANDA GIBSON GAHAN (PA-C) with Mckinney, Texas. Check all listed addresses for suites or satellite offices.
Why is information missing for MRS. AMANDA GIBSON GAHAN (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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