MR. GORDON SCOTT SHAFER FNP-C, OPA-C, CSA
NPI 1063567303
Nurse Practitioner - Family in Oak Ridge, TN
About Mr. Gordon Scott Shafer Fnp-c, Opa-c, Csa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. GORDON SCOTT SHAFER FNP-C, OPA-C, CSA (NPI 1063567303) is an individual family provider in Oak Ridge, Tennessee, licensed in Tennessee (23329) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Briceville.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Gordon Scott Shafer Fnp-c, Opa-c, Csa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Gordon Shafer reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Maryville, TN 37804
- Reassigned Medicare billing, Tennessee enrollment
- 390 clinicians in this Medicare group
Oneida, TN 37841
- Reassigned Medicare billing, Tennessee enrollment
Chattanooga, TN 37421
- Reassigned Medicare billing, Tennessee enrollment
- 224 clinicians in this Medicare group
Spring Hill, TN 37174
- Reassigned Medicare billing, Tennessee enrollment
- 985 clinicians in this Medicare group
Lawrenceburg, TN 38464
- Reassigned Medicare billing, Tennessee enrollment
- 86 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37830 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gordon Shafer's NPI number?
The NPI number for Gordon Shafer is 1063567303. It was assigned to this individual provider in the NPPES registry on January 25, 2007.
Where is Gordon Shafer located?
Gordon Shafer practices at 116 E Division Rd, Oak Ridge, TN 37830. The listed phone number is (865) 483-3904.
What is Gordon Shafer's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Gordon Shafer enrolled in Medicare?
Yes. Gordon Shafer is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Gordon Shafer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gordon Shafer reassigns Medicare benefits to 5 organizations: App Of Tennessee Ed, PLLC (Maryville, TN), Scott County Community Hospital, Inc. (Oneida, TN), Dx Mso, PLLC (Chattanooga, TN), Fast Pace Medical Clinic PLLC (Spring Hill, TN) and Emergency Coverage Services, PC (Lawrenceburg, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gordon Shafer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gordon Shafer accept?
Health plans from Cigna Healthcare and Oscar Insurance Company list Gordon Shafer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Gordon Shafer was last updated on March 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mr. Gordon Scott Shafer, FNP-C, OPA-C, CSA · NPI 1063567303
Family physician in Oak Ridge, Tennessee. Individual provider, active in the CMS NPPES registry since January 25, 2007.
## Identity
- **NPI:** 1063567303 (Entity type: Individual)
- **Enumerated:** January 25, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 23329 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 116 E DIVISION RD, Oak Ridge, TN 37830-6906
- **Phone:** (865) 483-3904
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): App Of Tennessee Ed, PLLC (NPI 1003230236, Maryville, TN); Scott County Community Hospital, Inc. (NPI 1932646049, Oneida, TN); Dx Mso, PLLC (NPI 1225381148, Chattanooga, TN); Fast Pace Medical Clinic PLLC (NPI 1134452865, Spring Hill, TN); Emergency Coverage Services, PC (NPI 1053351593, Lawrenceburg, TN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 21, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1063567303) · Data from the CMS NPPES public registry.