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DANIELLA ASHLEY GORDON APRN
NPI 1215713888
Nurse Practitioner - Family in Windsor, CT

Active since September 07, 2023PECOS EnrolledAccepts Medicare Assignment
74 MACK ST STE 4, WINDSOR, CT 06095(860) 298-8830 Get Directions Write a Review

NPPES record last updated: January 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 7, 2024, Sep 8, 2023 (2 updates tracked since 2023).

About Daniella Ashley Gordon Aprn NPPES

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

DANIELLA ASHLEY GORDON APRN (NPI 1215713888) is an individual family provider in Windsor, Connecticut, licensed in Connecticut (12490) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1215713888
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDANIELLA ASHLEY GORDONCredential: APRN
Location Address74 MACK ST STE 4Windsor, CT 06095-2759
Mailing Address1290 Silas Deane HwyWethersfield, CT 06109-4337
Phone(860) 298-8830
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 7, 2023
Last NPPES UpdateJanuary 7, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2024
✔ NPI 1215713888 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 CT · 12490
74 MACK ST STE 4, Windsor, CT 06095
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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

Daniella Ashley 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 ID7517319601
PECOS Enrollment IDI20240112004019
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
52 services44 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services14 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06095 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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 Daniella Gordon's NPI number?

The NPI number for Daniella Gordon is 1215713888. It was assigned to this individual provider in the NPPES registry on September 7, 2023.

Where is Daniella Gordon located?

Daniella Gordon practices at 74 Mack St Ste 4, Windsor, CT 06095. The listed phone number is (860) 298-8830.

What is Daniella Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Daniella Gordon enrolled in Medicare?

Yes. Daniella 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 Daniella Gordon was last updated on January 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.