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HAILEY M GORDON PA-C
NPI 1275175291
Nurse Practitioner in Meridian, ID

Active since October 10, 2019PECOS EnrolledAccepts Medicare Assignment
260 S TEN MILE RD, MERIDIAN, ID 83642(208) 809-2872 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2021, Oct 10, 2019 (2 updates tracked since 2019).

About Hailey M Gordon Pa-c NPPES

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

HAILEY M GORDON PA-C (NPI 1275175291) is an individual nurse practitioner in Meridian, Idaho, licensed in Idaho (53504) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1275175291
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHAILEY M GORDONCredential: PA-C
Location Address260 S TEN MILE RDMeridian, ID 83642-6100
Mailing AddressPo Box 191050Boise, ID 83719-1050 · (208) 955-6500
Phone(208) 809-2872
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 10, 2019
Last NPPES UpdateJuly 14, 20212 updates tracked since enumeration
NPPES CertifiedJuly 14, 2021
✔ NPI 1275175291 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 ID · 53504
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.
260 S TEN MILE RD, Meridian, ID 83642
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.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

Hailey M Gordon Pa-c 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 ID6204269343
PECOS Enrollment IDI20191204001458
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.
155 services134 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.
24 services22 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83642 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLIANCE MEDICAL GROUP, LLC
Family Medicine
260 S TEN MILE RD
MERIDIAN, ID 83642
Ada County (208) 809-2872
BECKY J WELLS PAC
Physician Assistant (Medical)
260 S TEN MILE RD
MERIDIAN, ID 83642
Ada County (208) 809-2872
NOAH C CHANCE
Physician Assistant
260 S TEN MILE RD
MERIDIAN, ID 83642
Ada County (208) 809-2872
MRS. SAMANTHA CHRISTINE VERNER PA-C
Physician Assistant (Medical)
260 S TEN MILE RD
MERIDIAN, ID 83642
Ada County (208) 809-2872

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 Hailey Gordon's NPI number?

The NPI number for Hailey Gordon is 1275175291. It was assigned to this individual provider in the NPPES registry on October 10, 2019.

Where is Hailey Gordon located?

Hailey Gordon practices at 260 S Ten Mile Rd, Meridian, ID 83642. The listed phone number is (208) 809-2872.

What is Hailey Gordon's specialty?

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

Is Hailey Gordon enrolled in Medicare?

Yes. Hailey 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 Hailey Gordon accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Hailey 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 Hailey Gordon affiliated with any hospitals?

According to CMS data, Hailey Gordon is affiliated with St Luke's Regional Medical Center and St Luke's Nampa Medical Center.

When was this NPI record last updated?

The NPPES record for Hailey Gordon was last updated on July 14, 2021. 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.