Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LISA GORDON FNP
NPI 1497187744
Nurse Practitioner - Family in Columbia, SC

Q: What is Lisa Gordon's NPI number?

The NPI number for Lisa Gordon is 1497187744. It was assigned to this individual provider in the NPPES registry on August 8, 2013.

Q: What is Lisa Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Gordon was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.

Active since August 08, 2013PECOS Enrolled

1601 GREENE ST, COLUMBIA, SC 29208(803) 777-7412 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Lisa Gordon Fnp NPPES

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

LISA GORDON FNP (NPI 1497187744) is an individual family provider in Columbia, South Carolina, licensed in South Carolina (18441) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497187744

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA GORDONCredential: FNP

Location Address1601 GREENE STColumbia, SC 29208-4001

Mailing Address1601 Greene StColumbia, SC 29208-4001 · (803) 777-7412

Phone(803) 777-7412

Sole ProprietorNo

Enumeration DateAugust 8, 2013

Last NPPES UpdateAugust 12, 2026

NPPES CertifiedAugust 12, 2026

✔ NPI 1497187744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SC · 18441

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1601 GREENE ST, Columbia, SC 29208

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.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)

Lisa Gordon Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29208 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

SHERONDA QUILLER SMITH

Nurse Practitioner (Psychiatric/Mental Health)