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PAULA S. GORDY LISW, LLC
NPI 1144821703
Nurse Practitioner - Psychiatric/Mental Health in Centerville, IA

Active since November 02, 2020
501 N 12TH ST STE 1, CENTERVILLE, IA 52544(641) 856-2688(641) 856-2690 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Paula S. Gordy Lisw, Llc NPPES

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

PAULA S. GORDY LISW, LLC (NPI 1144821703) is a healthcare organization registered as a psychiatric/mental health in Centerville, Iowa and active in the NPI registry since November 2020. The organization lists Paula Sue Gordy, Owner, as its authorized official.

NPPES Registry Identity

NPI1144821703
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePAULA S. GORDY LISW, LLC
Location Address501 N 12TH ST STE 1Centerville, IA 52544-1439
Mailing Address501 N 12th St Ste 1Centerville, IA 52544-1439 · (641) 856-2688 · Fax (641) 856-2690
Phone(641) 856-2688
Fax(641) 856-2690
Organization SubpartNo
Authorized OfficialPaula Sue GordyOwner · (641) 856-2688
Enumeration DateNovember 2, 2020
NPPES CertifiedNovember 2, 2020
✔ NPI 1144821703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
501 N 12TH ST STE 1, Centerville, IA 52544
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paula S. Gordy Lisw, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Paula S. Gordy Lisw, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Paula Gordy, LISW
Clinical Social Worker
NPI 1912052325
501 N 12TH ST SUITE 1
Centerville, IA 52544
(641) 856-2688
✔ PECOS✔ Accepts MedicareSame address
Allison Brown, LMHC
Mental Health Counselor
NPI 1700353083
1527 ALBIA RD
Ottumwa, IA 52501
(641) 682-8772
✔ PECOS29 mi
Sydney Thomas
Clinical Social Worker
NPI 1326665373
1111 N QUINCY AVE STE 137
Ottumwa, IA 52501
(641) 856-2688
✔ PECOS30 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Paula S. Gordy Lisw, LLC's NPI number?

The NPI number for Paula S. Gordy Lisw, LLC is 1144821703. It was assigned to this organization in the NPPES registry on November 2, 2020.

Where is Paula S. Gordy Lisw, LLC located?

Paula S. Gordy Lisw, LLC is located at 501 N 12th St Ste 1, Centerville, IA 52544. The listed phone number is (641) 856-2688.

What is Paula S. Gordy Lisw, LLC's specialty?

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

Is Paula S. Gordy Lisw, LLC enrolled in Medicare?

Yes. Paula S. Gordy Lisw, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Paula S. Gordy Lisw, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Paula S. Gordy Lisw, LLC, in Clinical Social Worker and Mental Health Counselor. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Paula S. Gordy Lisw, LLC was last updated on November 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.