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MARY ELLEN GORDON CNP
NPI 1649729872
Nurse Practitioner - Family in Woodburn, IN

Active since September 29, 2016
18906 OLD 24, WOODBURN, IN 46797(260) 493-8141(260) 493-8181 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 1, 2026, Sep 29, 2016 (2 updates tracked since 2016).

About Mary Ellen Gordon Cnp NPPES

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

MARY ELLEN GORDON CNP (NPI 1649729872) is an individual family provider in Woodburn, Indiana, licensed in Ohio (RN265977) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1649729872
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY ELLEN GORDONCredential: CNP
Location Address18906 OLD 24Woodburn, IN 46797-9048
Mailing Address18906 Old 24Woodburn, IN 46797-9048 · (260) 493-8141 · Fax (260) 493-8181
Phone(260) 493-8141
Fax(260) 493-8181
Sole ProprietorNo
Enumeration DateSeptember 29, 2016
Last NPPES UpdateApril 1, 20262 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
✔ NPI 1649729872 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
Licenses✔ Licensed in OH · RN265977✔ Licensed in IN · 71012009B
18906 OLD 24, Woodburn, IN 46797
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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 Mary Gordon's NPI number?

The NPI number for Mary Gordon is 1649729872. It was assigned to this individual provider in the NPPES registry on September 29, 2016.

Where is Mary Gordon located?

Mary Gordon practices at 18906 Old 24, Woodburn, IN 46797. The listed phone number is (260) 493-8141.

What is Mary Gordon's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Gordon was last updated on April 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.