MR. LINUS SCOTT MEDLEY (FNP) – Family Nurse Practitioner, NPI 1497050306

MR. LINUS SCOTT MEDLEY (FNP) is a healthcare provider. based in Gladewater, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. R790626 (MS). The NPI Number for MR. LINUS SCOTT MEDLEY (FNP) is 1497050306

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
MR. LINUS SCOTT MEDLEY (FNP)
NPI
1497050306
Phone
(903) 845-2159
Address
307 W UPSHUR AVE
Enumeration Date
24 January 2011
Last Update Date
6 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035674692
Graduation Year
2010 (16 years ago)
PAC ID
0446433007
Group Practice PAC ID
7517385388
Professional Enrollment ID
I20200521000187
Address ID
TX751032418CA301XX243X501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:15State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MR. LINUS SCOTT MEDLEY (FNP)

  • 307 W UPSHUR AVE

    GLADEWATER, TX 756472121

    Phone: (903) 845-2159

    Fax: (903) 845-5451

    Type: Location

  • 4002 TECHNOLOGY CTR

    LONGVIEW, TX 756052697

    Phone: (903) 247-0484

    Fax: (903) 247-0485

    Type: Mailing

  • 1711 S HENDERSON BLVD STE 300

    KILGORE, TX 756623563

    Phone: (903) 988-0605

    Fax: (903) 988-9804

    Type: Location

  • 15200 Community Rd

    Gulfport, MS 395033085

    Phone: (228) 575-7000

    Fax: (228) 575-7114

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-10-25 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-25

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: 2020-05-21

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
I20200521000187INurse 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 mg1,108106$0
96372Injection of drug or substance under skin or into muscle134115$0
99213Established patient office or other outpatient visit, 20-29 minutes115103$0
J0696Injection, ceftriaxone sodium, per 250 mg7021$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)6761$0
View full utilization report →

Insurance plans in this area (ZIP 75647)

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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: 7517385388View full group profile
NameSpecialtyState
Emergency Medicine, Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Family PracticeUT
Nurse PractitionerTX
Physician AssistantNM
Nurse PractitionerTX
Internal MedicineTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Can I use this page to confirm MR. LINUS SCOTT MEDLEY (FNP)'s NPI?
Yes. MR. LINUS SCOTT MEDLEY (FNP) is listed with NPI 1497050306 in the public NPI dataset.
Is MR. LINUS SCOTT MEDLEY (FNP) still practicing?
MR. LINUS SCOTT MEDLEY (FNP) is currently listed as active in the public NPI registry.
What healthcare role does MR. LINUS SCOTT MEDLEY (FNP) hold?
Scheduling teams often label MR. LINUS SCOTT MEDLEY (FNP) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MR. LINUS SCOTT MEDLEY (FNP) list a practice location?
Patients near Gladewater, Texas may find MR. LINUS SCOTT MEDLEY (FNP) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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