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MS. CARRIE KALLENBACH GORDON NP
NPI 1134498926
Nurse Practitioner - Family in Redwood City, CA

Active since December 22, 2011PECOS EnrolledAccepts Medicare Assignment
300 BRADFORD STREET, MAGUIRE CORRECTIONAL FACILITY, REDWOOD CITY, CA 94063(650) 363-4241 Get Directions Write a Review

NPPES record last updated: September 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1134498926
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. CARRIE KALLENBACH GORDONCredential: NP
Location Address300 BRADFORD STREET, MAGUIRE CORRECTIONAL FACILITYRedwood City, CA 94063
Mailing Address300 Bradford Avenue, Maguire Correctional FacilityRedwood City, CA 94063 · (650) 363-4241
Phone(650) 363-4241
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateDecember 22, 2011
Last NPPES UpdateSeptember 12, 2013
✔ NPI 1134498926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 12246
300 BRADFORD STREET, Redwood City, CA 94063
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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

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.

PECOS PAC ID8426089228
PECOS Enrollment IDI20050822000820
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 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.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

RUTHANN FLAMENT NP
Nurse Practitioner (Family)
300 BRADFORD STREET
REDWOOD CITY, CA 94063
San Mateo County (650) 363-4241

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.

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 12 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.