RONNY KEITH GORDON JR. APRN
NPI 1427673649
Nurse Practitioner - Family in Oklahoma City, OK
About Ronny Keith Gordon Jr. Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RONNY KEITH GORDON JR. APRN (NPI 1427673649) is an individual family provider in Oklahoma City, Oklahoma, licensed in Oklahoma (R0105864) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Newcastle, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Ronny Keith Gordon Jr. Aprn 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
2Medicare enrollment records show Ronny Gordon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Moore, OK 73160
- Reassigned Medicare billing, Oklahoma enrollment
- 83 clinicians in this Medicare group
Harrah, OK 73045
- Reassigned Medicare billing, Oklahoma enrollment
- 59 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 73120 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OKLAHOMA CITY, OK 73120
OKLAHOMA CITY, OK 73120
OKLAHOMA CITY, OK 73120
OKLAHOMA CITY, OK 73120
OKLAHOMA CITY, OK 73120
OKLAHOMA CITY, OK 73120
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 Ronny Gordon's NPI number?
The NPI number for Ronny Gordon is 1427673649. It was assigned to this individual provider in the NPPES registry on June 12, 2020.
Where is Ronny Gordon located?
Ronny Gordon practices at 13509 N Meridian Ave, Oklahoma City, OK 73120. The listed phone number is (405) 937-7422.
What is Ronny Gordon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ronny Gordon enrolled in Medicare?
Yes. Ronny 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.
Which organizations bill Medicare for Ronny Gordon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ronny Gordon reassigns Medicare benefits to 2 organizations: Mercy Oklahoma Ambulatory Services LLC (Moore, OK) and Icare Center LLC (Harrah, OK). 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 Ronny Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ronny Gordon accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Ronny 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 Ronny Gordon was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ronny Keith Gordon Jr., APRN · NPI 1427673649
Family physician in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since June 12, 2020.
## Identity
- **NPI:** 1427673649 (Entity type: Individual)
- **Enumerated:** June 12, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R0105864 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 13509 N MERIDIAN AVE, Oklahoma City, OK 73120-8397
- **Phone:** (405) 937-7422 · **Fax:** (405) 848-3591
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Mercy Oklahoma Ambulatory Services LLC (NPI 1922509173, Moore, OK); Icare Center LLC (NPI 1881190833, Harrah, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 21, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1427673649) · Data from the CMS NPPES public registry.