MR. VLADISLAV DMITRIYEVICH GORDON APRN
NPI 1144926817
Nurse Practitioner in Scottsdale, AZ

Q: What is Vladislav Gordon's NPI number?

The NPI number for Vladislav Gordon is 1144926817. It was assigned to this individual provider in the NPPES registry on February 6, 2023.

Q: What is Vladislav Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Vladislav Gordon was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since February 06, 2023PECOS EnrolledAccepts Medicare Assignment

13400 E SHEA BLVD, SCOTTSDALE, AZ 85259(480) 301-8000 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 25, 2025, Feb 9, 2023 (2 updates tracked since 2023).

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About Mr. Vladislav Dmitriyevich Gordon Aprn NPPES

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

MR. VLADISLAV DMITRIYEVICH GORDON APRN (NPI 1144926817) is an individual nurse practitioner in Scottsdale, Arizona, licensed in Arizona (329811) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1144926817

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMR. VLADISLAV DMITRIYEVICH GORDONCredential: APRN

Location Address13400 E SHEA BLVDScottsdale, AZ 85259-5452

Mailing AddressPo Box 100108Gainesville, FL 32610-0108 · (352) 273-5670 · Fax (352) 273-5683

Phone(480) 301-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateFebruary 6, 2023

Last NPPES UpdateSeptember 26, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2025

✔ NPI 1144926817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AZ · 329811

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

13400 E SHEA BLVD, Scottsdale, AZ 85259

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Secondary Practice Locations 2

Location 11600 SW Archer RdGainesville, FL 32610-2709 · Phone (352) 273-5670

Location 2303 N Clyde Morris BlvdDaytona Beach, FL 32114-2709 · Phone (386) 254-4000

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

Mr. Vladislav Dmitriyevich Gordon Aprn 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 ID143693184

PECOS Enrollment IDI20251013003439

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 85259 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

AMITKUMAR MEHTA MD

Internal Medicine (Hematology & Oncology)