Bryan Lee Gourley, FNP-C - Medicare Nurse Practitioner in Cedar Park, TX

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Bryan Lee Gourley, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Cedar Park, Texas. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice North Canyon Medical Center Inc, St Lukes Clinic Llc and his current practice location is 2500 S Lakeline Blvd Ste 100, Cedar Park, Texas. You can reach out to his office (for appointments etc.) via phone at (512) 345-8970.

Bryan Lee Gourley is licensed to practice in Idaho (license number 54951) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629500947.

Contact Information

Bryan Lee Gourley, FNP-C
2500 S Lakeline Blvd Ste 100,
Cedar Park, TX 78613
(512) 345-8970
(512) 345-6689

Map and Direction




Provider's Profile

Full NameBryan Lee Gourley
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location2500 S Lakeline Blvd Ste 100, Cedar Park, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bryan Lee Gourley graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1629500947
  • Provider Enumeration Date: 03/28/2017
  • Last Update Date: 12/12/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8921346727
  • Enrollment ID: I20190625001960

Medical Identifiers

Medical identifiers for Bryan Lee Gourley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629500947NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 54951 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Lukes Magic Valley Medical CenterTwin falls, IDHospital
St Luke's JeromeJerome, IDHospital
Minidoka Memorial HospitalRupert, IDHospital
Northeastern Nevada Regional HospitalElko, NVHospital
North Canyon Medical CenterGooding, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Canyon Medical Center Inc094137143948
St Lukes Clinic Llc1052217478274

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bryan Lee Gourley allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790718229
PECOS PAC ID: 1052217478
Enrollment ID: O20031208000899
Entity NameNorth Canyon Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609046671
PECOS PAC ID: 0941371439
Enrollment ID: O20090409000304
Entity NameElite Medicine Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487393393
PECOS PAC ID: 2365823069
Enrollment ID: O20220712003605
Entity NameCommunity Care Health Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619368842
PECOS PAC ID: 8527324151
Enrollment ID: O20231012002128

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bryan Lee Gourley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bryan Lee Gourley, FNP-C
2500 S Lakeline Blvd Ste 100,
Cedar Park, TX 78613-2968

Ph: (512) 345-8970		Bryan Lee Gourley, FNP-C
2500 S Lakeline Blvd Ste 100,
Cedar Park, TX 78613

Ph: (512) 345-8970

Reviews and Comments


Nurse Practitioner Nurses in Cedar Park, TX

Hetal Rathod, N.P
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1401 Medical Pkwy, B Suite 407, Cedar Park, TX 78613
Phone: 512-249-7190    
Bonnie Thomson, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3620 E Whitestone Blvd, Cedar Park, TX 78613
Phone: 512-260-2732    
Mrs. Monica Lane, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 345 Cypress Creek Rd Ste 104, Cedar Park, TX 78613
Phone: 512-336-2777    Fax: 512-336-2778
Mrs. Wendy Dennise Short, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1401 Medical Pkwy Ste 101, Cedar Park, TX 78613
Phone: 512-248-2200    Fax: 512-260-1991
Ms. Kelsey Marie Watson, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2829 S. Lakeline Blvd #525, Cedar Park, TX 78613
Phone: 512-785-6195    
Mrs. Gabrielle Louise Teumer, DNP, APRN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2500 S Lakeline Blvd Ste 100, Cedar Park, TX 78613
Phone: 512-345-8970    
Kristen Faith Young,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 801 E Whitestone Blvd Ste 201, Cedar Park, TX 78613
Phone: 512-341-0900    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.