RITA L GORDON APRN
NPI 1235243569
Nurse Practitioner - Family in Jackson, MS

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment
3502 W NORTHSIDE DR, JACKSON, MS 39213(601) 362-5321 Get Directions Write a Review

NPPES record last updated: July 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rita L Gordon Aprn NPPES

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

RITA L GORDON APRN (NPI 1235243569) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R784456) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Mississippi Med Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1235243569
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRITA L GORDONCredential: APRN
Location Address3502 W NORTHSIDE DRJackson, MS 39213-4454
Mailing Address3502 W Northside DrJackson, MS 39213-4454 · (601) 362-5321
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 17, 2006
Last NPPES UpdateJuly 12, 2011
NPI 1235243569 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 MS · R784456
3502 W NORTHSIDE DR, Jackson, MS 39213

Other Identifiers 2

OtherR784456MS · Ms License
Medicare PIN500000858MS

Accepted Insurance

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

Rita L 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 ID446280713
PECOS Enrollment IDI20050816000925
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.

Hospital Affiliations CMS Care Compare

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

University Of Mississippi Med Center

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number250001
Location2500 N State StJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39213 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Social Worker (Clinical)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Clinic/Center (Physical Therapy)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Family Medicine
3502 W NORTHSIDE DR
JACKSON, MS 39213
Dental Hygienist
3502 W NORTHSIDE DR
JACKSON, MS 39213
Nurse Practitioner (Adult Health)
3502 W NORTHSIDE DR
JACKSON, MS 39213

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 Rita Gordon's NPI number?

The NPI number for Rita Gordon is 1235243569. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Rita Gordon located?

Rita Gordon practices at 3502 W Northside Dr, Jackson, MS 39213. The listed phone number is (601) 362-5321.

What is Rita Gordon's specialty?

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

Is Rita Gordon enrolled in Medicare?

Yes. Rita 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.

What insurance does Rita Gordon accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Rita Gordon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rita Gordon affiliated with any hospitals?

According to CMS data, Rita Gordon is affiliated with University Of Mississippi Med Center.

When was this NPI record last updated?

The NPPES record for Rita Gordon was last updated on July 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.