PAMALA DENIESE MCGOWAN (APRN) – Family Nurse Practitioner, NPI 1962019653

PAMALA DENIESE MCGOWAN (APRN) is a healthcare provider. based in Desoto, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 716074 (TX). The NPI Number for PAMALA DENIESE MCGOWAN (APRN) is 1962019653

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
PAMALA DENIESE MCGOWAN (APRN)
NPI
1962019653
Phone
(817) 201-4155
Address
150 E Danieldale Rd
Enumeration Date
26 September 2020
Last Update Date
9 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2545629321
Graduation Year
2022 (4 years ago)
PAC ID
6901274612
Group Practice PAC ID
8921911876
Professional Enrollment ID
I20221130000082
Address ID
TX766673600ME514XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for PAMALA DENIESE MCGOWAN (APRN)

  • 150 E Danieldale Rd

    DeSoto, TX 751152401

    Phone: (817) 201-4155

    Type: Location

  • 150 E DANIELDALE RD

    DESOTO, TX 751152401

    Phone: (817) 201-4155

    Type: Location

  • 650 FM 2547

    FAIRFIELD, TX 758405230

    Phone: (903) 391-7900

    Type: Mailing

  • 600 S BONHAM ST

    MEXIA, TX 766673603

    Phone: (254) 562-9321

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $183.

Total Amount is formed as General ($183) + Research ($0) + Ownership ($0) = $183.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Novo Nordisk Inc ($84).

Total Amount

$183

General + Research + Ownership

Payments

11

Total payment records

General Amount

$183

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2022-11-30

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
I20221130000082INurse 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.

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

Insurance plans in this area (ZIP 75115)

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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: 8921911876View full group profile
NameSpecialtyState
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Family PracticeTX
Physician AssistantTX
Family PracticeTX
Nurse PractitionerTX
-TX
Nurse PractitionerTX
Internal Medicine, Pediatric MedicineTX

Reviews

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Frequently asked questions

How do I look up PAMALA DENIESE MCGOWAN (APRN) by NPI?
Use NPI 1962019653 when you need to reference PAMALA DENIESE MCGOWAN (APRN) in forms, claims, or directories.
Is PAMALA DENIESE MCGOWAN (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does PAMALA DENIESE MCGOWAN (APRN) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for PAMALA DENIESE MCGOWAN (APRN). Clinical services aligned with this taxonomy classification.
What location shows for PAMALA DENIESE MCGOWAN (APRN)?
We surface Desoto, Texas for PAMALA DENIESE MCGOWAN (APRN) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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