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

NPI Status: Active since August 23, 2013

Contact Information

525 PORTLAND AVE
MINNEAPOLIS, MN
ZIP 55415
Phone: (612) 596-9643
Fax: (612) 596-9641

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  • Individual
  • Female
  • Nurse Practitioner
  • Family
  • Accepts Insurance
  • PECOS Enrolled

About AMY GORDON

This page provides the complete NPI Profile along with additional information for Amy Gordon, a provider established in Minneapolis, Minnesota with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1336573500 assigned on August 2013. The practitioner's primary taxonomy code is 363LF0000X with license number R1830486 (MN). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1336573500
Provider Name
DR. AMY R GORDON NP-C
Gender
Female
Entity Type
Individual
Location Address
525 PORTLAND AVE MINNEAPOLIS, MN 55415
Location Phone
(612) 596-9643
Location Fax
(612) 596-9641
Mailing Address
525 PORTLAND AVE MINNEAPOLIS, MN 55415
Mailing Phone
(612) 596-9643
Mailing Fax
(612) 596-9641
Is Sole Proprietor?
Yes
Enumeration Date
08-23-2013
Last Update Date
04-10-2017
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A nurse practitioner (NP) like Amy Gordon is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
R1830486
License State
MN

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - EPO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - EPO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - EPO
  • Medica Individual Choice Silver Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
H400240648MEDICAID (05)MN 

Medicare Participation & PECOS Enrollment Status

Amy Gordon is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 55415 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.82
  • Minimum New Patient Price $56
  • Maximum New Patient Price $168.28
  • Average New Patient Copayment $21.45
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.07

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $98.61
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $138.04
  • Average Established Patient Copayment $24.65
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $34.51

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. AMY R GORDON NP-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336573500
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366107650
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 0 + 7 + 6 + 5 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1336573500 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MEAGHAN MORTON

Registered Nurse

525 PORTLAND AVE
MINNEAPOLIS, MN
ZIP 55415

(612) 873-5832

KATHLEEN MCDONOUGH

Nurse Practitioner

(Women's Health)

525 PORTLAND AVE
MC: 952
MINNEAPOLIS, MN
ZIP 55415

(612) 348-3033

CYNTHIA NELSON

Nurse Practitioner

(Family)

525 PORTLAND AVE
MC: 952
MINNEAPOLIS, MN
ZIP 55415

(612) 348-3033

ELIZABETH LANE-GETAZ

Nurse Practitioner

(Women's Health)

525 PORTLAND AVE
MC: 652
MINNEAPOLIS, MN
ZIP 55415

(612) 348-3033

HENNEPIN COUNTY

Public Health or Welfare

525 PORTLAND AVE
LEVEL #4 MC952
MINNEAPOLIS, MN
ZIP 55415

(612) 348-9840

HYUN JOO OH PH.D., M.S.W.

Social Worker

(Clinical)

525 PORTLAND AVE
FIFTH FLOOR
MINNEAPOLIS, MN
ZIP 55415

(612) 250-9755

MS. FRANCES LOUISE SANDERS MSW LGSW

Social Worker

525 PORTLAND AVE
MC 965
MINNEAPOLIS, MN
ZIP 55415

(612) 348-0244

LORETT LYNN HUFFMAN LICSW

Social Worker

(Clinical)

525 PORTLAND AVE
MAIL CODE 965
MINNEAPOLIS, MN
ZIP 55415

(612) 348-3857

DONNA JEAN NELSON LSW

Social Worker

525 PORTLAND AVE
MINNEAPOLIS, MN
ZIP 55415

(612) 543-0593

MR. JOHN HENRY HERBERT JR. SOCIAL WORKER

Social Worker

525 PORTLAND AVE
965
MINNEAPOLIS, MN
ZIP 55415

(612) 543-5235

LISA SAFFOLD

Social Worker

525 PORTLAND AVE
HSPHD - HEALTH SERVICES BUILDING
MINNEAPOLIS, MN
ZIP 55415

(612) 296-7302

MS. SUSAN FRAME LICSW

Social Worker

(Clinical)

525 PORTLAND AVE
MINNEAPOLIS, MN
ZIP 55415

(612) 348-0293

MS. ROXANNE STACEY PEYTON MSW

Behavior Analyst

525 PORTLAND AVE
500
MINNEAPOLIS, MN
ZIP 55415

(612) 836-1044

JUDITH EMERSON LICSW

Social Worker

(Clinical)

525 PORTLAND AVE
HSPHD, M965
MINNEAPOLIS, MN
ZIP 55415

(612) 348-3000

MRS. LUEVERIA M HUERTA

Social Worker

525 PORTLAND AVE
MINNEAPOLIS, MN
ZIP 55415

(612) 348-7379

LAURIE A MOSER MA

Marriage & Family Therapist

525 PORTLAND AVE
MINNEAPOLIS, MN
ZIP 55415

(612) 596-7071

COMMUNITY OUTREACH FOR PSYCHIATRIC EMERGENCIES

Community/Behavioral Health

525 PORTLAND AVE
MINNEAPOLIS, MN
ZIP 55415

(612) 596-1223

MARTHA E DILLE M.S. L.P.

Psychologist

525 PORTLAND AVE
MINNEAPOLIS, MN
ZIP 55415

(612) 964-1778

ANNE MARIE WILLIAMS-WENGERD M.A.

Psychologist

(Counseling)

525 PORTLAND AVE
MC 965
MINNEAPOLIS, MN
ZIP 55415

(612) 685-7084

NANCY LIDDY

Nurse Practitioner

(Adult Health)

525 PORTLAND AVE
MC: 952
MINNEAPOLIS, MN
ZIP 55415

(612) 348-9840

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336573500, enumerated in the NPI registry as an "individual" on August 23, 2013

The provider is located at 525 Portland Ave Minneapolis, Mn 55415 and the phone number is (612) 596-9643

The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider might be accepting Accepts: Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 06, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $85.82 with an average copayment of $21.45 for new patient appointments. Established patients should expect a typical charge of $98.61 and an average copayment of 24.65. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on August 23, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.