ETHAN WILLIAM GINGRAS (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1225520455

ETHAN WILLIAM GINGRAS (NURSE PRACTITIONER) is a healthcare provider. based in Dallas, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. AP137475 (TX). The NPI Number for ETHAN WILLIAM GINGRAS (NURSE PRACTITIONER) is 1225520455

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
ETHAN WILLIAM GINGRAS (NURSE PRACTITIONER)
NPI
1225520455
Phone
(972) 780-0802
Address
39769 I-20
Enumeration Date
4 June 2018
Last Update Date
31 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2143527800
Graduation Year
2017 (9 years ago)
PAC ID
2668710005
Group Practice PAC ID
9638354103
Professional Enrollment ID
I20190211002267
Address ID
TX752094244DA5301XLANE401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

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Provider Addresses for ETHAN WILLIAM GINGRAS (NURSE PRACTITIONER)

  • CareNow, 39769, Lyndon B Johnson Freeway, Dallas, Dallas County, Texas, 75237, United States

    DALLAS, TX 75237

    Phone: (972) 780-0802

    Type: Location

  • 3090 N Goliad St

    Rockwall, TX 750877007

    Phone: (972) 722-0011

    Type: Location

  • 798, Deverson Drive, Rockwall, Rockwall County, Texas, 75087, United States

    ROCKWALL, TX 750877172

    Phone: (469) 396-3360

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-02-11

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
I20190211002267INurse PractitionerTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg16364$0
99214Established patient office or other outpatient visit, 30-39 minutes9694$0
96372Injection of drug or substance under skin or into muscle7171$0
99204New patient office or other outpatient visit, 45-59 minutes4747$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus4443$0
View full utilization report →

Insurance plans in this area (ZIP 75237)

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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: 9638354103View full group profile
NameSpecialtyState
Emergency MedicineTX
Physician AssistantTX
Nurse PractitionerTX
-TX
Emergency MedicineTX
Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Nurse PractitionerTX

Reviews

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Frequently asked questions

How do I look up ETHAN WILLIAM GINGRAS (NURSE PRACTITIONER) by NPI?
Use NPI 1225520455 when you need to reference ETHAN WILLIAM GINGRAS (NURSE PRACTITIONER) in forms, claims, or directories.
Is ETHAN WILLIAM GINGRAS (NURSE PRACTITIONER) currently active in the NPI registry?
CMS-published data lists ETHAN WILLIAM GINGRAS (NURSE PRACTITIONER) as an active registrant.
Does ETHAN WILLIAM GINGRAS (NURSE PRACTITIONER) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for ETHAN WILLIAM GINGRAS (NURSE PRACTITIONER). Clinical services aligned with this taxonomy classification.
Where does public data place ETHAN WILLIAM GINGRAS (NURSE PRACTITIONER)?
The snapshot lists Dallas, Texas for ETHAN WILLIAM GINGRAS (NURSE PRACTITIONER); download NPPES for the complete set.
Is ETHAN WILLIAM GINGRAS (NURSE PRACTITIONER) a real provider?
This page reflects official NPPES data for NPI 1225520455. Always confirm identity and privileges with the practice and licensing boards.

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