HEATHER GORDY NP
NPI 1417619982
Nurse Practitioner - Family in Mishawaka, IN
About Heather Gordy Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATHER GORDY NP (NPI 1417619982) is an individual family provider in Mishawaka, Indiana, licensed in Indiana (71012042A) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Heather Gordy Np 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
4Medicare enrollment records show Heather Gordy reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mishawaka, IN 46545
- Reassigned Medicare billing, Indiana enrollment
- 166 clinicians in this Medicare group
South Bend, IN 46601
- Reassigned Medicare billing, Indiana enrollment
- 69 clinicians in this Medicare group
Burr Ridge, IL 60527
- Reassigned Medicare billing, Indiana enrollment
- 24 clinicians in this Medicare group
Brentwood, TN 37027
- Reassigned Medicare billing, Indiana enrollment
- 218 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 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46545 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MISHAWAKA, IN 46545
MISHAWAKA, IN 46545
MISHAWAKA, IN 46545
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 Heather Gordy's NPI number?
The NPI number for Heather Gordy is 1417619982. It was assigned to this individual provider in the NPPES registry on October 12, 2021.
Where is Heather Gordy located?
Heather Gordy practices at 611 E Douglas Rd Ste 200, Mishawaka, IN 46545. The listed phone number is (574) 335-6850.
What is Heather Gordy's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Heather Gordy enrolled in Medicare?
Yes. Heather Gordy 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 Heather Gordy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Gordy reassigns Medicare benefits to 4 organizations: Pic Indiana PC (Mishawaka, IN), South Bend Emergency Physicians, Inc (South Bend, IN), Metro Infectious Disease Consultants, LLC (Burr Ridge, IL) and Hospitalist Medicine Physicians Of Indiana, LLC (Brentwood, TN). 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 Heather Gordy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heather Gordy accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Heather Gordy 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 Heather Gordy was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Heather Gordy, NP · NPI 1417619982
Family physician in Mishawaka, Indiana. Individual provider, active in the CMS NPPES registry since October 12, 2021.
## Identity
- **NPI:** 1417619982 (Entity type: Individual)
- **Enumerated:** October 12, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 71012042A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 611 E DOUGLAS RD STE 200, Mishawaka, IN 46545-1465
- **Phone:** (574) 335-6850 · **Fax:** (574) 335-0849
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Pic Indiana PC (NPI 1942546890, Mishawaka, IN); South Bend Emergency Physicians, Inc (NPI 1487132114, South Bend, IN); Metro Infectious Disease Consultants, LLC (NPI 1235125717, Burr Ridge, IL); Hospitalist Medicine Physicians Of Indiana, LLC (NPI 1720416555, Brentwood, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 9, 2023
- **Other identifiers:** Other 1102223470 (IN); Medicaid 300057950 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1417619982) · Data from the CMS NPPES public registry.