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KIMESHA SHERRIKA GORDON FNP-C
NPI 1518757632
Nurse Practitioner - Family in Hollywood, FL

Active since May 12, 2025PECOS Enrolled
4303 HAYES ST, HOLLYWOOD, FL 33021(954) 997-0471 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kimesha Sherrika Gordon Fnp-c NPPES

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

KIMESHA SHERRIKA GORDON FNP-C (NPI 1518757632) is an individual family provider in Hollywood, Florida, licensed in Florida (11039395) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1518757632
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMESHA SHERRIKA GORDONCredential: FNP-C
Location Address4303 HAYES STHollywood, FL 33021-5363
Mailing Address4303 Hayes StHollywood, FL 33021-5363 · (954) 997-0471
Phone(954) 997-0471
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 12, 2025
NPPES CertifiedMay 12, 2025
✔ NPI 1518757632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 11039395
4303 HAYES ST, Hollywood, FL 33021
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimesha Sherrika Gordon Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153887831
PECOS Enrollment IDI20260803001209
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 Kimesha Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

American Wound Care Medicine PLLC
1,097 mi
Adult Medicine
139 N OCEAN AVE STE 203
Patchogue, NY 11772
  • Reassigned Medicare billing, New York enrollment
  • 10 clinicians in this Medicare group
NPI 1942074653 (855) 479-4217

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 33021 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 Kimesha Gordon's NPI number?

The NPI number for Kimesha Gordon is 1518757632. It was assigned to this individual provider in the NPPES registry on May 12, 2025.

Where is Kimesha Gordon located?

Kimesha Gordon practices at 4303 Hayes St, Hollywood, FL 33021. The listed phone number is (954) 997-0471.

What is Kimesha Gordon's specialty?

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

Is Kimesha Gordon enrolled in Medicare?

Yes. Kimesha Gordon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimesha Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimesha Gordon reassigns Medicare benefits to American Wound Care Medicine PLLC (Patchogue, NY). 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 Kimesha Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimesha Gordon was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.