KIMBERLY ANNE GORDON CRNA
NPI 1174718266
Nurse Anesthetist, Certified Registered in Winston Salem, NC

Active since September 11, 2007Accepts Medicare Assignment
145 KIMEL PARK DR, SUITE 300, WINSTON SALEM, NC 27103(336) 768-3212 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kimberly Anne Gordon Crna NPPES

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

KIMBERLY ANNE GORDON CRNA (NPI 1174718266) is an individual nurse anesthetist, certified registered in Winston Salem, North Carolina, licensed in North Carolina (177140) and active in the NPI registry since September 2007. She is affiliated with Novant Health Medical Park Hospital and is a graduate of Other (2007).

NPPES Registry Identity

NPI1174718266
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKIMBERLY ANNE GORDONCredential: CRNA
Location Address145 KIMEL PARK DR, SUITE 300Winston Salem, NC 27103-6984
Mailing Address145 Kimel Park Dr, Suite 300Winston Salem, NC 27103-6984 · (336) 768-3212
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 11, 2007
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
NPI 1174718266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in NC · 177140
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

145 KIMEL PARK DR, Winston Salem, NC 27103

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

Kimberly Anne Gordon Crna 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 ID2264521608
PECOS Enrollment IDI20071207000513

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Medical Park Hospital

Acute Care Hospitals · Winston-Salem, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340148
Location1950 S Hawthorne RdWinston-Salem, NC 27103 · Forsyth County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

Psychiatry & Neurology (Neurology)
145 KIMEL PARK DR, SUITE 100
WINSTON-SALEM, NC 27103
Psychiatry & Neurology (Neurology)
145 KIMEL PARK DR, SUITE 100
WINSTON-SALEM, NC 27103
Psychiatry & Neurology (Neurology)
145 KIMEL PARK DR, SUITE 100
WINSTON-SALEM, NC 27103
Psychiatry & Neurology (Neurology)
145 KIMEL PARK DR, SUITE 100
WINSTON SALEM, NC 27103
Anesthesiology
145 KIMEL PARK DR, SUITE 300
WINSTON SALEM, NC 27103
Anesthesiology
145 KIMEL PARK DR, SUITE 300
WINSTON SALEM, NC 27103
Anesthesiology
145 KIMEL PARK DR, SUITE 300
WINSTON SALEM, NC 27103
Anesthesiology
145 KIMEL PARK DR, SUITE 300
WINSTON SALEM, NC 27103

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 Kimberly Gordon's NPI number?

The NPI number for Kimberly Gordon is 1174718266. It was assigned to this individual provider in the NPPES registry on September 11, 2007.

Where is Kimberly Gordon located?

Kimberly Gordon practices at 145 Kimel Park Dr Suite 300, Winston Salem, NC 27103. The listed phone number is (336) 768-3212.

What is Kimberly Gordon's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Kimberly Gordon enrolled in Medicare?

Yes. Kimberly 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.

Is Kimberly Gordon affiliated with any hospitals?

According to CMS data, Kimberly Gordon is affiliated with Novant Health Medical Park Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Gordon was last updated on October 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.