ANDREA ALEXIS GORDON APNP
NPI 1306377023
Nurse Practitioner in Kenosha, WI

Q: What is Andrea Gordon's NPI number?

The NPI number for Andrea Gordon is 1306377023. It was assigned to this individual provider in the NPPES registry on March 23, 2017. The provider is also known as Andrea Alexis Gallo.

Q: What is Andrea Gordon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrea Gordon was last updated on July 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 23, 2017PECOS EnrolledAccepts Medicare Assignment

79.61/100

CMS Quality Rating

6308 8TH AVENUE, STE 202, KENOSHA, WI 53143(262) 653-5330(262) 653-5346 Get Directions Write a Review

NPPES record last updated: July 4, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 4, 2018, Jul 11, 2017, Mar 23, 2017 (3 updates tracked since 2017).

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About Andrea Alexis Gordon Apnp NPPES

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

ANDREA ALEXIS GORDON APNP (NPI 1306377023) is an individual nurse practitioner in Kenosha, Wisconsin, licensed in Wisconsin (8432-33) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and maintains a secondary practice location in Pleasant Prairie.

NPPES Registry Identity

NPI1306377023

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameANDREA ALEXIS GORDONCredential: APNP

Location Address6308 8TH AVENUE, STE 202Kenosha, WI 53143

Mailing Address6308 8th Avenue, Ste 202Kenosha, WI 53143-5031 · (262) 653-5330 · Fax (262) 653-5346

Phone(262) 653-5330

Fax(262) 653-5346

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 23, 2017

Last NPPES UpdateJuly 4, 20183 updates tracked since enumeration

✔ NPI 1306377023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 8432-33

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 178314-030 (WI)

6308 8TH AVENUE, Kenosha, WI 53143

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Other Names 1

Former Name (1)Andrea Alexis Gallo

Secondary Practice Location 1

Location 19555 76th StreetPleasant Prairie, WI 53158-1984 · Phone (262) 653-5330 · Fax (262) 653-5346

Other Identifiers 2

Medicaid1306377023WI

Other8432-33WI · Wi License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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

Andrea Alexis Gordon Apnp 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 ID9032482799

PECOS Enrollment IDI20180724001744

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 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.

153 services124 patients

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.

59 services51 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.

49 services49 patients

Hospital Affiliations CMS Care Compare

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

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number520021

Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53143 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.61/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

70.88

Promoting Interoperability

100

Improvement Activities

Cost

61.15

Other Providers at the Same Location NPPES 11

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

IHC-KENOSHA RADIOLOGY, LLC

Radiology (Diagnostic Radiology)

6308 8TH AVENUE, UHS KENOSHA CAMPUS
KENOSHA, WI 53143

Kenosha County (414) 290-6720

MISO NIKO MILOSLAVIC MD

Family Medicine

6308 8TH AVENUE, SUITE 2000
KENOSHA, WI 53143

Kenosha County (262) 653-5300

MITCHELL JACOB ZIARKO MD

Internal Medicine

6308 8TH AVENUE, SUITE 2000
KENOSHA, WI 53143

Kenosha County (262) 653-5300

ROSANNA M RANIERI MD

Internal Medicine (Nephrology)

6308 8TH AVENUE, SUITE 2000
KENOSHA, WI 53143

Kenosha County (262) 653-5300

MEHJABEIN YAGUOOB KHAN MD

Internal Medicine (Rheumatology)

6308 8TH AVENUE, SUITE 108
KENOSHA, WI 53143

Kenosha County (262) 653-5300

PRITI DILIP PATEL MD

Internal Medicine (Geriatric Medicine)

6308 8TH AVENUE, STE 2000
KENOSHA, WI 53143

Kenosha County (262) 653-5300

CHIGOZIE NWAMAKA NWEKE MD

Internal Medicine

6308 8TH AVENUE
KENOSHA, WI 53143

Kenosha County (630) 371-0133

SUZANNE P MATTOX MD

Internal Medicine

6308 8TH AVENUE, SUITE 2000
KENOSHA, WI 53143

Kenosha County (262) 653-5300

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 Andrea Gordon's NPI number?

The NPI number for Andrea Gordon is 1306377023. It was assigned to this individual provider in the NPPES registry on March 23, 2017. The provider is also known as Andrea Alexis Gallo.

Where is Andrea Gordon located?

Andrea Gordon practices at 6308 8th Avenue Ste 202, Kenosha, WI 53143. The listed phone number is (262) 653-5330.

What is Andrea Gordon's specialty?

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

Is Andrea Gordon enrolled in Medicare?

Yes. Andrea 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 Andrea Gordon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Network Health list Andrea 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 Andrea Gordon affiliated with any hospitals?

According to CMS data, Andrea Gordon is affiliated with Froedtert South Inc..

When was this NPI record last updated?

The NPPES record for Andrea Gordon was last updated on July 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.