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LISA GORDON
NPI 1437969466
Nurse Practitioner - Psychiatric/Mental Health in Detroit, MI

Active since January 11, 2025PECOS EnrolledAccepts Medicare Assignment
3646 MOUNT ELLIOTT ST, DETROIT, MI 48207(313) 626-2400 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 11, 2025, Jan 11, 2025 (2 updates tracked since 2025).

About Lisa Gordon NPPES

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

LISA GORDON (NPI 1437969466) is an individual psychiatric/mental health provider in Detroit, Michigan, licensed in Michigan (4704351548) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Redford, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1437969466
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLISA GORDON
Location Address3646 MOUNT ELLIOTT STDetroit, MI 48207-2311
Mailing Address15212 Salem CtRedford, MI 48239-3441 · (248) 325-7435
Phone(313) 626-2400
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 11, 2025
Last NPPES UpdateMarch 11, 20252 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1437969466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MI · 4704351548
3646 MOUNT ELLIOTT ST, Detroit, MI 48207
Open in Google Maps ↗

Secondary Practice Location 1

Location 115212 Salem CtRedford, MI 48239-3441 · Phone (248) 325-7435

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Lisa Gordon 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.

PECOS PAC ID1254834344
PECOS Enrollment IDI20250913000522
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 Lisa Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Team Mental Health Services Inc.
Same address
Primary Care
3646 MOUNT ELLIOTT ST
Detroit, MI 48207
  • Reassigned Medicare billing, Michigan enrollment
  • 116 clinicians in this Medicare group
NPI 1295324291 (313) 626-2400

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 48207 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

KARRAH ANN COSTELLA BSW
Social Worker
3646 MOUNT ELLIOTT ST
DETROIT, MI 48207
Wayne County (313) 267-9600
SHAVONNA COLLIER
Case Manager/Care Coordinator
3646 MOUNT ELLIOTT ST
DETROIT, MI 48207
Wayne County (313) 331-3435
RAYANNA GERTRUDE MATTHEWS
Social Worker (Clinical)
3646 MOUNT ELLIOTT ST
DETROIT, MI 48207
Wayne County (313) 293-1790
MADISON TRICE
Social Worker (Clinical)
3646 MOUNT ELLIOTT ST
DETROIT, MI 48207
Wayne County (313) 267-9600
TEAM MENTAL HEALTH SERVICES INC.
Clinic/Center (Urgent Care)
3646 MOUNT ELLIOTT ST
DETROIT, MI 48207
Wayne County (313) 626-2400
KAYLIN NICOLE ASHBROOK LLMSW
Social Worker (Clinical)
3646 MOUNT ELLIOTT ST
DETROIT, MI 48207
Wayne County (313) 331-3435
MR. WILLIAM ODELL HUGHES JR. RADIOLOGY TECH
Radiologic Technologist
3646 MOUNT ELLIOTT ST
DETROIT, MI 48207
Wayne County (313) 396-2400
KRYSTAL ADAMS MACON BA, SST
Case Manager/Care Coordinator
3646 MOUNT ELLIOTT ST
DETROIT, MI 48207
Wayne County (313) 331-3435

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 Lisa Gordon's NPI number?

The NPI number for Lisa Gordon is 1437969466. It was assigned to this individual provider in the NPPES registry on January 11, 2025.

Where is Lisa Gordon located?

Lisa Gordon practices at 3646 Mount Elliott St, Detroit, MI 48207. The listed phone number is (313) 626-2400.

What is Lisa Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lisa Gordon enrolled in Medicare?

Yes. Lisa 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 organization bills Medicare for Lisa Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Gordon reassigns Medicare benefits to Team Mental Health Services Inc. (Detroit, MI). 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 Lisa Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Gordon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Lisa 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 Lisa Gordon was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.