DR. AMY R GORDON NP-C
NPI 1336573500
Nurse Practitioner - Family in Minneapolis, MN
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
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
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).
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.
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.
MINNEAPOLIS, MN 55415
MINNEAPOLIS, MN 55415
MINNEAPOLIS, MN 55415
MINNEAPOLIS, MN 55415
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.
What insurance does Amy Gordon accept?
Health plans from Medica list Amy 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.
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.
# Dr. Amy R Gordon, NP-C · NPI 1336573500
Family physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since August 23, 2013.
## Identity
- **NPI:** 1336573500 (Entity type: Individual)
- **Enumerated:** August 23, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R1830486 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 525 PORTLAND AVE, Minneapolis, MN 55415-1533
- **Phone:** (612) 596-9643 · **Fax:** (612) 596-9641
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 10, 2017
- **Other identifiers:** Medicaid H400240648 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1336573500) · Data from the CMS NPPES public registry.