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DR. AMY R GORDON NP-C
NPI 1336573500
Nurse Practitioner - Family in Minneapolis, MN

Active since August 23, 2013PECOS Enrolled
525 PORTLAND AVE, MINNEAPOLIS, MN 55415(612) 596-9643(612) 596-9641 Get Directions Write a Review

NPPES record last updated: April 10, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Amy R Gordon Np-c NPPES

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

DR. AMY R GORDON NP-C (NPI 1336573500) is an individual family provider in Minneapolis, Minnesota, licensed in Minnesota (R1830486) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336573500
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. AMY R GORDONCredential: NP-C
Location Address525 PORTLAND AVEMinneapolis, MN 55415-1533
Mailing Address525 Portland AveMinneapolis, MN 55415-1533 · (612) 596-9643 · Fax (612) 596-9641
Phone(612) 596-9643
Fax(612) 596-9641
Sole ProprietorYes
Enumeration DateAugust 23, 2013
Last NPPES UpdateApril 10, 2017
✔ NPI 1336573500 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 MN · R1830486
525 PORTLAND AVE, Minneapolis, MN 55415
Open in Google Maps ↗

Other Identifiers 1

MedicaidH400240648MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amy R Gordon Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Amy Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hennepin County
Same address
Federally Qualified Health Center (FQHC)
525 PORTLAND AVE # MC963
Minneapolis, MN 55415
  • Reassigned Medicare billing, Minnesota enrollment
  • 192 clinicians in this Medicare group
NPI 1972685568 (612) 348-5553

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55415 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

LAURIE A MOSER MA
Marriage & Family Therapist
525 PORTLAND AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 596-7071
COMMUNITY OUTREACH FOR PSYCHIATRIC EMERGENCIES
Community/Behavioral Health
525 PORTLAND AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 596-1223
MS. RACHEL LUKASKI LPCC
Counselor (Professional)
525 PORTLAND AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 348-3016
MR. CHARLES WILSON JONES LMFT
Marriage & Family Therapist
525 PORTLAND AVE, MC 963
MINNEAPOLIS, MN 55415
Hennepin County (612) 348-2233
MS. TYNESSIA NICOLE CHEROKEE SNODDY MA, LADC, LPCC
Counselor (Professional)
525 PORTLAND AVE, MC 963
MINNEAPOLIS, MN 55415
Hennepin County (612) 596-1223
KRYSTAL MCKAY
Nurse Practitioner (Women's Health)
525 PORTLAND AVE, HSB 4TH FLOOR, MC 952
MINNEAPOLIS, MN 55415
Hennepin County (612) 348-9840
AMANDA GREGG PSY.D., L.P.
Psychologist (Clinical)
525 PORTLAND AVE, MC 963
MINNEAPOLIS, MN 55415
Hennepin County (612) 596-1223
MRS. BERNICE DAVID-COOPER LICSW
Social Worker (Clinical)
525 PORTLAND AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 348-1223

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 Amy Gordon's NPI number?

The NPI number for Amy Gordon is 1336573500. It was assigned to this individual provider in the NPPES registry on August 23, 2013.

Where is Amy Gordon located?

Amy Gordon practices at 525 Portland Ave, Minneapolis, MN 55415. The listed phone number is (612) 596-9643.

What is Amy Gordon's specialty?

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

Is Amy Gordon enrolled in Medicare?

Yes. Amy Gordon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amy Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Gordon reassigns Medicare benefits to Hennepin County (Minneapolis, MN). The 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 Amy Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amy Gordon was last updated on April 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.