NICKIESH GORDON
NPI 1023773900
Nurse Practitioner - Family in Fort Myers, FL

Q: What is Nickiesh Gordon's NPI number?

The NPI number for Nickiesh Gordon is 1023773900. It was assigned to this individual provider in the NPPES registry on November 4, 2021.

Q: What is Nickiesh Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Nickiesh Gordon was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 04, 2021PECOS EnrolledAccepts Medicare Assignment

2675 WINKLER AVE FL 2, FORT MYERS, FL 33901(855) 979-5700(855) 979-5701 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2024, Nov 4, 2021 (2 updates tracked since 2021).

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About Nickiesh Gordon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICKIESH GORDON (NPI 1023773900) is an individual family provider in Fort Myers, Florida, licensed in Florida (APRN11016431) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1023773900

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNICKIESH GORDON

Location Address2675 WINKLER AVE FL 2Fort Myers, FL 33901-9342

Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774

Phone(855) 979-5700

Fax(855) 979-5701

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 4, 2021

Last NPPES UpdateFebruary 6, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2024

✔ NPI 1023773900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · APRN11016431

2675 WINKLER AVE FL 2, Fort Myers, FL 33901

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nickiesh Gordon is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537520424

PECOS Enrollment IDI20230725000612

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

58 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100012

Location2776 Cleveland AveFort Myers, FL 33901 · Lee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHOK DAHAL MBBS

Hospitalist