PHEBE GORDON NPC
NPI 1093264996
Nurse Practitioner - Pediatrics in Detroit Lakes, MN

Q: What is Phebe Gordon's NPI number?

The NPI number for Phebe Gordon is 1093264996. It was assigned to this individual provider in the NPPES registry on October 3, 2016.

Q: What is Phebe Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Phebe Gordon was last updated on December 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 October 03, 2016PECOS Enrolled

1027 WASHINGTON AVE, DETROIT LAKES, MN 56501(218) 847-5611 Get Directions Write a Review

NPPES record last updated: December 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Phebe Gordon Npc NPPES

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

PHEBE GORDON NPC (NPI 1093264996) is an individual pediatrics provider in Detroit Lakes, Minnesota, licensed in Minnesota (CNP 4837) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093264996

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NamePHEBE GORDONCredential: NPC

Location Address1027 WASHINGTON AVEDetroit Lakes, MN 56501-3409

Mailing AddressPo Box 6001Fargo, ND 58108-6001 · (701) 364-8000

Phone(218) 847-5611

Sole ProprietorNo

Enumeration DateOctober 3, 2016

Last NPPES UpdateDecember 21, 2016

✔ NPI 1093264996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

License✔ Licensed in MN · CNP 4837

1027 WASHINGTON AVE, Detroit Lakes, MN 56501

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phebe Gordon Npc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 56501 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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