NICOLE GORDON MD
NPI 1285166140
Family Medicine in Renton, WA
About Nicole Gordon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE GORDON MD (NPI 1285166140) is an individual family medicine provider in Renton, Washington, licensed in Washington (MD61178729) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Valley Medical Center, and maintains a secondary practice location in Everett.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicole Gordon Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nicole Gordon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Renton, WA 98055
- Reassigned Medicare billing, Washington enrollment
- 689 clinicians in this Medicare group
Kent, WA 98032
- Reassigned Medicare billing, Washington enrollment
- 525 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Valley Medical Center
Acute Care Hospitals · Renton, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
RENTON, WA 98055
RENTON, WA 98055
RENTON, WA 98055
RENTON, WA 98055
RENTON, WA 98055
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 Nicole Gordon's NPI number?
The NPI number for Nicole Gordon is 1285166140. It was assigned to this individual provider in the NPPES registry on March 30, 2017.
Where is Nicole Gordon located?
Nicole Gordon practices at 3915 Talbot Rd S Ste 401, Renton, WA 98055. The listed phone number is (425) 690-3445.
What is Nicole Gordon's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Nicole Gordon enrolled in Medicare?
Yes. Nicole 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.
Which organizations bill Medicare for Nicole Gordon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Gordon reassigns Medicare benefits to 2 organizations: Valley Medical Group-Renton (Renton, WA) and Sea Mar Community Health Centers (Kent, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Gordon accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Nicole 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 Nicole Gordon affiliated with any hospitals?
According to CMS data, Nicole Gordon is affiliated with Valley Medical Center.
When was this NPI record last updated?
The NPPES record for Nicole Gordon was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Nicole Gordon, MD · NPI 1285166140
Family Medicine physician in Renton, Washington. Individual provider, active in the CMS NPPES registry since March 30, 2017.
## Identity
- **NPI:** 1285166140 (Entity type: Individual)
- **Enumerated:** March 30, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD61178729 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 3915 TALBOT RD S STE 401, Renton, WA 98055-5738
- **Phone:** (425) 690-3445 · **Fax:** (425) 690-9445
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Valley Medical Group-Renton (NPI 1619209574, Renton, WA); Sea Mar Community Health Centers (NPI 1417370735, Kent, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** F H Netter, M.d. School Of Med At Quinnipiac Univ, class of 2017
## Record status
- **NPPES last updated:** November 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1285166140) · Data from the CMS NPPES public registry.