MS. CARRIE KALLENBACH GORDON NP
NPI 1134498926
Nurse Practitioner - Family in Redwood City, CA
About Ms. Carrie Kallenbach Gordon Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. CARRIE KALLENBACH GORDON NP (NPI 1134498926) is an individual family provider in Redwood City, California, licensed in California (12246) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Carrie Kallenbach Gordon Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Carrie Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Redwood City, CA 94063
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: County Of San Mateo
- Also billed through NPI 1831268580 (California)
- 597 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94063 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
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 Carrie Gordon's NPI number?
The NPI number for Carrie Gordon is 1134498926. It was assigned to this individual provider in the NPPES registry on December 22, 2011.
Where is Carrie Gordon located?
Carrie Gordon practices at 300 Bradford Street Maguire Correctional Facility, Redwood City, CA 94063. The listed phone number is (650) 363-4241.
What is Carrie Gordon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carrie Gordon enrolled in Medicare?
Yes. Carrie 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.
Which organization bills Medicare for Carrie Gordon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carrie Gordon reassigns Medicare benefits to San Mateo County (Redwood City, CA). The 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 Carrie Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Carrie Gordon was last updated on September 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Ms. Carrie Kallenbach Gordon, NP · NPI 1134498926
Family physician in Redwood City, California. Individual provider, active in the CMS NPPES registry since December 22, 2011.
## Identity
- **NPI:** 1134498926 (Entity type: Individual)
- **Enumerated:** December 22, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 12246 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 BRADFORD STREET, MAGUIRE CORRECTIONAL FACILITY, Redwood City, CA 94063
- **Phone:** (650) 363-4241
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** San Mateo County (NPI 1912926692, Redwood City, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** September 12, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1134498926) · Data from the CMS NPPES public registry.