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RICKELL GORDON NURSE PRACTITIONER
NPI 1093132052
Nurse Practitioner - Family in Rochester, NY

Active since March 27, 2014PECOS EnrolledAccepts Medicare Assignment
528 AUGUSTINE ST, ROCHESTER, NY 14613(585) 733-0433 Get Directions Write a Review

NPPES record last updated: May 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2020, Feb 17, 2016 (2 updates tracked since 2016).

About Rickell Gordon Nurse Practitioner NPPES

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

RICKELL GORDON NURSE PRACTITIONER (NPI 1093132052) is an individual family provider in Rochester, New York, licensed in New York (345491) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1093132052
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRICKELL GORDONCredential: NURSE PRACTITIONER
Location Address528 AUGUSTINE STRochester, NY 14613-1335
Mailing Address528 Augustine StRochester, NY 14613-1335 · (585) 733-0433
Phone(585) 733-0433
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 27, 2014
Last NPPES UpdateMay 7, 20202 updates tracked since enumeration
NPPES CertifiedMay 7, 2020
✔ NPI 1093132052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 345491
Also ListedRegistered NurseTaxonomy 163W00000X · License 682852 (NY)
528 AUGUSTINE ST, Rochester, NY 14613
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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

Rickell Gordon Nurse Practitioner 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 ID6305242090
PECOS Enrollment IDI20210903001332
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.

Hospital Affiliations CMS Care Compare

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14613 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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

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

ORCHID HEALTH NP IN PSYCHIATRY & FAMILY HEALTH PLLC
Nurse Practitioner (Family)
528 AUGUSTINE ST
ROCHESTER, NY 14613
Monroe County (585) 754-3784

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 Rickell Gordon's NPI number?

The NPI number for Rickell Gordon is 1093132052. It was assigned to this individual provider in the NPPES registry on March 27, 2014.

Where is Rickell Gordon located?

Rickell Gordon practices at 528 Augustine St, Rochester, NY 14613. The listed phone number is (585) 733-0433.

What is Rickell Gordon's specialty?

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

Is Rickell Gordon enrolled in Medicare?

Yes. Rickell Gordon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Rickell Gordon affiliated with any hospitals?

According to CMS data, Rickell Gordon is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Rickell Gordon was last updated on May 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.