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SIMONE ANTOINETTE GORDON
NPI 1518638428
Nurse Practitioner in Pineville, NC

Active since September 22, 2021PECOS EnrolledAccepts Medicare Assignment
9101 PINEVILLE MATTHEWS RD # C4, PINEVILLE, NC 28134(980) 202-7920(980) 301-9830 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 27, 2023, Sep 22, 2021 (2 updates tracked since 2021).

About Simone Antoinette Gordon NPPES

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

SIMONE ANTOINETTE GORDON (NPI 1518638428) is an individual nurse practitioner in Pineville, North Carolina, licensed in North Carolina (5017312) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charlotte, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1518638428
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSIMONE ANTOINETTE GORDON
Location Address9101 PINEVILLE MATTHEWS RD # C4Pineville, NC 28134-8840
Mailing AddressPo Box 604050Charlotte, NC 28260-4050
Phone(980) 202-7920
Fax(980) 301-9830
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 22, 2021
Last NPPES UpdateFebruary 27, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2023
✔ NPI 1518638428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5017312
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License F03210140 (NC)
9101 PINEVILLE MATTHEWS RD # C4, Pineville, NC 28134
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Secondary Practice Location 1

Location 115204 Gathering CtCharlotte, NC 28278-7872 · Phone (336) 423-7888

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Simone Antoinette 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 ID3577937689
PECOS Enrollment IDI20230313000897
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
55 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services11 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28134 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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 Simone Gordon's NPI number?

The NPI number for Simone Gordon is 1518638428. It was assigned to this individual provider in the NPPES registry on September 22, 2021.

Where is Simone Gordon located?

Simone Gordon practices at 9101 Pineville Matthews Rd # C4, Pineville, NC 28134. The listed phone number is (980) 202-7920.

What is Simone Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Simone Gordon enrolled in Medicare?

Yes. Simone 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.

What insurance does Simone Gordon accept?

Health plans from Blue Cross and Blue Shield of NC list Simone 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 Simone Gordon was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.