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KEISHA-ANN GORDON-PRIMUS FNP-BC
NPI 1093196537
Nurse Practitioner - Psychiatric/Mental Health in St Petersburg, FL

Active since June 10, 2015PECOS EnrolledAccepts Medicare Assignment
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702(407) 863-4048(407) 987-6560 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 20, 2026, Mar 7, 2024, Mar 14, 2023 and 2 more (5 updates tracked since 2017).

About Keisha-ann Gordon-primus Fnp-bc NPPES

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

KEISHA-ANN GORDON-PRIMUS FNP-BC (NPI 1093196537) is an individual psychiatric/mental health provider in St Petersburg, Florida, licensed in Florida (APRN9231746) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1093196537
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKEISHA-ANN GORDON-PRIMUSCredential: FNP-BC
Location Address7901 4TH ST N STE 300St Petersburg, FL 33702-4399
Mailing Address7901 4th St N Ste 300St Petersburg, FL 33702-4399 · (407) 863-4048 · Fax (407) 987-6560
Phone(407) 863-4048
Fax(407) 987-6560
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 10, 2015
Last NPPES UpdateMarch 20, 20265 updates tracked since enumeration
NPPES CertifiedMarch 20, 2026
✔ NPI 1093196537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · APRN9231746
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License ARNP9231746 (FL)
7901 4TH ST N STE 300, St Petersburg, FL 33702
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Molina Healthcare, Oscar Health Maintenance Organization of Florida and more.Insurance ›

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

Keisha-ann Gordon-primus Fnp-bc 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 ID2961786884
PECOS Enrollment IDI20170221001332, I20240923002991
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33702 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

ELIZABETH RYCZEK LMHC
Counselor (Mental Health)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Pinellas County (727) 697-7906
FLORIDA ADVOCACY GROUP, LLC
Social Worker (Clinical)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Pinellas County (813) 576-9914
FRANCIA PIERRE LCSW
Social Worker (Clinical)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Pinellas County (813) 344-5868
MELISSA DAVIDSON
Social Worker (Clinical)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Pinellas County (786) 246-2732
MELEAH JACQUELINE SMITH LCSW
Social Worker (Clinical)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Pinellas County (727) 205-3489
VALERIE HOMIDAS LCSW
Social Worker (Clinical)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Pinellas County (407) 605-0720
RONALDYS PAEZ APRN
Nurse Practitioner (Psychiatric/Mental Health)
7901 4TH ST N STE 300
SAINT PETERSBURG, FL 33702
Pinellas County (305) 615-5145
EMOPTI PN PROFESSIONAL ASSOCIATION
Preventive Medicine (Public Health & General Preventive Medicine)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Pinellas County (217) 737-3508

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 Keisha-ann Gordon-primus's NPI number?

The NPI number for Keisha-ann Gordon-primus is 1093196537. It was assigned to this individual provider in the NPPES registry on June 10, 2015.

Where is Keisha-ann Gordon-primus located?

Keisha-ann Gordon-primus practices at 7901 4th St N Ste 300, St Petersburg, FL 33702. The listed phone number is (407) 863-4048.

What is Keisha-ann Gordon-primus's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Keisha-ann Gordon-primus enrolled in Medicare?

Yes. Keisha-ann Gordon-primus 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.

What insurance does Keisha-ann Gordon-primus accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Molina Healthcare, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company and Providence Health Plan and 2 other insurers list Keisha-ann Gordon-primus 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 Keisha-ann Gordon-primus was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.